Individual
LAURIE OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4762 FIVE MILE RD, HINSDALE, NY 14743-9770
(716) 378-9757
Mailing address
4762 FIVE MILE RD, HINSDALE, NY 14743-9770
(716) 378-9757
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032879
NY
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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