Individual
MS. PATRICIA M MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
29 CLINTON ST, BROCKPORT, NY 14420-1803
(585) 259-2696
Mailing address
110 WOODLANDS, BROCKPORT, NY 14420-2661
(585) 259-2696
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
015243
NY
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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