Individual
ANDREA JO PAGELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12040 SULPHUR SPRINGS RD, IRVING, NY 14081-9597
(716) 289-3899
Mailing address
12040 SULPHUR SPRINGS RD, IRVING, NY 14081-9597
(716) 289-3899
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020970
NY
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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