Individual
MS. BRIDGETTE DESHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
187 MAIN ST, MASSENA, NY 13662-1907
(315) 705-6010
Mailing address
187 MAIN ST, MASSENA, NY 13662-1907
(315) 705-6010
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
017369
NY
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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