Organization
LEA ANI KAISER DBA BIRCH
Active
Other names
Birch Body Care
Organization subpart
No
Provider details
NPI number
Authorized official
LEA ANI KAISER (OWNER)
(845) 331-7139
Entity
Organization
Contact information
Practice address
73 CROWN ST, KINGSTON, NY 12401-3833
(845) 331-7139
Mailing address
73 CROWN ST, KINGSTON, NY 12401-3833
(845) 331-7139
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
017973
NY
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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