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Individual

MICHELLE M PERKINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT,NBCTMB

Contact information

Practice address
2 IRIS LN, ALBANY, NY 12205-2947
(518) 265-9191
Mailing address
2 IRIS LN, ALBANY, NY 12205-2947
(518) 265-9191

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
017359
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
017359
STATE LICENSE
NY
Enumeration date
02/28/2008
Last updated
02/28/2008
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