Individual
DENISE ANN RIESTERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
466 MORICHES RD, SAINT JAMES, NY 11780-2041
(631) 584-2323
Mailing address
PO BOX 777, SAINT JAMES, NY 11780-0777
(631) 664-5561
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
010886
NY
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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