Individual
ADIA WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
156 SCRANTON AVE, LYNBROOK, NY 11563-2814
(516) 321-0397
Mailing address
12019 192ND ST, SAINT ALBANS, NY 11412-3626
(347) 551-0342
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
033768-01
NY
225700000X
Massage Therapist
18KT01440600
NJ
Other
Enumeration date
10/04/2022
Last updated
12/20/2024
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