Individual
MARY MASTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
24 PINE ST OFC, EAST AURORA, NY 14052-1828
(716) 652-2644
(716) 687-1184
Mailing address
33 LONGMEADOW DR, EAST AURORA, NY 14052-1519
(716) 652-2644
(716) 687-1184
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
011387-1
NY
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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