Individual
MARY ELIZABETH EASTERBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
544 E MAIN ST, BATAVIA, NY 14020-2740
(716) 982-9677
Mailing address
PO BOX 292, EAST PEMBROKE, NY 14056-0292
(716) 982-9677
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030109
NY
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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