Individual
TERRY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
709 N MAIN ST, NORTH SYRACUSE, NY 13212-1669
(315) 373-4933
Mailing address
709 N MAIN ST, NORTH SYRACUSE, NY 13212-1669
(315) 373-4933
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030936
NY
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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