Individual
REGINA ROSE PANETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7815 STATE ROUTE 3, HARRISVILLE, NY 13648-2238
(518) 536-6956
Mailing address
8006 STATE ROUTE 3, HARRISVILLE, NY 13648-2225
(518) 536-6956
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
303070
NY
225700000X
Massage Therapist
Primary
027867
NY
Other
Enumeration date
05/03/2023
Last updated
06/07/2023
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