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Individual

MR. JOHN FRANCIS LIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L..M.T.

Contact information

Practice address
110 HUDSON AVE, HAVERSTRAW, NY 10927-1502
(845) 893-0691
Mailing address
110 HUDSON AVE, HAVERSTRAW, NY 10927-1502
(845) 893-0691

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
019612-1
NY
225700000X
Massage Therapist
26BT00183100
NJ

Other

Enumeration date
05/12/2010
Last updated
05/13/2010
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