Individual
MEGAN FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
344 W MAIN ST, MALONE, NY 12953-1742
(518) 651-4166
Mailing address
344 W MAIN ST, MALONE, NY 12953-1742
(518) 651-4166
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024080
NY
Other
Enumeration date
01/14/2017
Last updated
08/05/2019
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