Provider Demographics
NPI:1861670481
Name:FOUND, MARILYN JEAN (LMT)
Entity Type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:JEAN
Last Name:FOUND
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:MARILYS
Other - Middle Name:
Other - Last Name:HANDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3518 SOUTHWESTERN BLVD
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127
Mailing Address - Country:US
Mailing Address - Phone:716-851-0432
Mailing Address - Fax:
Practice Address - Street 1:3518 SOUTHWESTERN BLVD
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127
Practice Address - Country:US
Practice Address - Phone:716-851-0432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0176551225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist