Individual
MS. LAURA MANFRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18 HILLSDALE LN, CORAM, NY 11727-1818
(415) 786-7946
Mailing address
18 HILLSDALE LN, CORAM, NY 11727-1818
(415) 786-7946
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27022008
NY
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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