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Individual

AUDREY BAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
104 SOUTH RD, MILLBROOK, NY 12545-5527
(845) 505-2843
(845) 605-1307
Mailing address
104 SOUTH RD, MILLBROOK, NY 12545-5527
(845) 505-2843
(845) 605-1307

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032186
NY

Other

Enumeration date
09/14/2020
Last updated
09/14/2020
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