Individual
MRS. SUSAN M PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
DERUYTER RD, SOUTH OTSELIC, NY 13155-0241
(315) 653-7519
(315) 653-7848
Mailing address
PO BOX 241, SOUTH OTSELIC, NY 13155-0241
(315) 653-7519
(315) 653-7848
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013143
NY
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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