Individual
LESLEY A KAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
97 4TH ST, TROY, NY 12180-3905
(518) 506-9985
Mailing address
97 4TH ST, TROY, NY 12180-3905
(518) 506-9985
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013412
NY
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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