Individual
NEDRA MAE APPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
830 HOOSICK RD, SUITE 1, TROY, NY 12180-6665
(518) 925-9611
Mailing address
12 PINE AVE, WYNANTSKILL, NY 12198-7555
(518) 925-9611
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022945
NY
Other
Enumeration date
09/03/2011
Last updated
09/03/2011
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