Individual
SUSAN E DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1104 MAIN ST, SYLVAN BEACH, NY 13157-7786
(315) 371-7701
Mailing address
2930 STATE ROUTE 49, BLOSSVALE, NY 13308-3129
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028572-1
NY
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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