Individual
MARILYN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 WEEKS ST, BLUE POINT, NY 11715-1513
(631) 419-6300
(888) 880-9756
Mailing address
212 SADDLE ROCK RD, HOLBROOK, NY 11741-4809
(631) 327-3012
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021902
NY
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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