Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | CA |
NPI | 1003971292 |
---|---|
Provider Name | Sally M Eisinger |
First Address | Corning, CA 96035 |
Second Address | Corning, CA 96021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2006 |
Last Update Date | 08/07/2007 |