Individual
DONNA M FELLOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
704 OLD LIVERPOOL RD, LIVERPOOL, NY 13088-6035
(315) 374-0027
Mailing address
104 GEMINI PL APT 8, SYRACUSE, NY 13209-9692
(315) 374-0027
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031926
NY
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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