Individual
TINA DEVLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11 MOHAWK DR, NORTH MASSAPEQUA, NY 11758-1035
(516) 351-4477
Mailing address
11 MOHAWK DR, NORTH MASSAPEQUA, NY 11758-1035
(516) 351-4477
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027302
NY
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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