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Jennifer Ann Maher, LMT

Massage Therapist in Brockport, NY. Individual provider (NPI-1).

NPI number1578723391
StatusActive
Last updated in NPPESJun 16, 2008

Details

NPI
1578723391
Entity type
Individual (NPI-1)
Name
Miss Jennifer Ann Maher
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 16, 2008
Last updated
Jun 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist019529NYYes

Practice location

29 Clinton St
Brockport, NY 14420-1803

Phone 585-802-4692

Mailing address

29 Clinton St
Brockport, NY 14420-1803

Phone 585-802-4692

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