Individual
LORRI JEAN MATHEWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMT, LMT
Contact information
Practice address
206 KINNE ST, EAST SYRACUSE, NY 13057-2261
(716) 465-2784
Mailing address
206 KINNE ST, EAST SYRACUSE, NY 13057-2261
(716) 465-2784
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
007711
NY
Other
Enumeration date
10/14/2006
Last updated
03/13/2017
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