Individual
SHANLEY BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
127 E 1ST ST, OSWEGO, NY 13126-2104
(315) 207-2222
(315) 343-6923
Mailing address
127 E 1ST ST, OSWEGO, NY 13126-2104
(315) 207-2222
(315) 343-6923
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028593
NY
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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