Individual
LYDIA S HAWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
208 MAIN ST, OLEAN, NY 14760-2606
(585) 808-4021
Mailing address
208 MAIN ST, OLEAN, NY 14760-2606
(585) 808-4021
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025729-1
NY
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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