Individual
MS. ELEANOR MARIE LAVIOLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1216 JACOB STREET, TROY, NY 12180-3036
(518) 326-8121
Mailing address
1216 JACOB STREET, TROY, NY 12180-3036
(518) 326-8121
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
010117-1
NY
225700000X
Massage Therapist
149318-00
—
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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