Individual
PATRICK R NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
424A VANDUZEE ST, WATERTOWN, NY 13601-1163
(315) 767-0488
Mailing address
PO BOX 84, NEW YORK MILLS, NY 13417-0084
(315) 767-0488
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031316
NY
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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