Individual
MS. SHANNON ADOLPHINE ANN OSTMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
9 CORPORATE DR, SUITE 3, HALFMOON, NY 12065-8636
(518) 986-4123
Mailing address
9 CORPORATE DR, SUITE 3, HALFMOON, NY 12065-8636
(518) 986-4123
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027864-1
NY
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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