Individual
SANDRA ANNE SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT/LICENSED MASSAGE
Contact information
Practice address
1694 PENFIELD RD., CATALYST HEALTH GROUP, ROCHESTER, NY 14625
(585) 943-7664
Mailing address
1694 PENFIELD RD., CATALYST HEALTH GROUP, ROCHESTER, NY 14625
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023729
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023729
NEW YORK STATE EDUCATION DEPARTMENT
NY
Enumeration date
04/13/2011
Last updated
07/31/2013
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