Caroline Marie Carballa, LMT

NPI #1790120020 in Gasport, New York

Provider Information

NPI Number: 1790120020
Entity Type: Individual
Name: Caroline Marie Carballa, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Apr 30, 2013
Last Updated: Apr 30, 2013

Practice Location

Address: 4437 MAIN ST
City: Gasport
State: New York
ZIP Code: 14067-9201
Phone: (716) 772-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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