Individual
SUZANNE MARY CARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NYS LMT
Contact information
Practice address
220 VILLAGE LNDG, FAIRPORT, NY 14450-1806
(585) 305-4798
Mailing address
144 W IVY ST, EAST ROCHESTER, NY 14445-1816
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022488-1
NY
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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