Individual
MR. ROBERT L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 BURR AVE, NORWICH, NY 13815-1901
(607) 316-3564
Mailing address
19 BURR AVE, NORWICH, NY 13815-1901
(607) 316-3564
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028152
NY
Other
Enumeration date
12/09/2016
Last updated
12/09/2016
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