Individual
SUZANNE ANULIS-BARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
511 NORTON ST, ROCHESTER, NY 14621-3417
(585) 507-3938
Mailing address
511 NORTON ST, ROCHESTER, NY 14621-3417
(585) 507-3938
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
009230-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009230-1
MASSAGE THERAPIST
NY
Enumeration date
11/08/2006
Last updated
08/30/2010
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