Individual
ATHENA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
127 E 1ST ST, OSWEGO, NY 13126-2104
(315) 207-2222
Mailing address
127 E 1ST ST, OSWEGO, NY 13126-2104
(315) 207-2222
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032787
NY
Other
Enumeration date
08/29/2022
Last updated
08/20/2024
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