Individual
CHRISTINA MARIE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
225 MONTAUK HWY, MORICHES, NY 11955-1425
(631) 874-4114
Mailing address
225 MONTAUK HWY, MORICHES, NY 11955-1425
(631) 312-0006
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031730
NY
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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