Individual
MS. GINA LEE GAUSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
150 MAIN ST STE 202, ONEIDA, NY 13421-1619
(315) 264-0418
Mailing address
PO BOX 306, SYLVAN BEACH, NY 13157-0306
(315) 264-0418
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029816
NY
Other
Enumeration date
10/27/2017
Last updated
03/17/2018
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