Individual
LISA LYNN PINKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1305 MIDDLE COUNTRY RD, SUITE 12, SELDEN, NY 11784-2554
(631) 834-5773
Mailing address
1305 MIDDLE COUNTRY RD, SUITE 12, SELDEN, NY 11784-2554
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
014786
NY
Other
Enumeration date
03/17/2010
Last updated
01/25/2011
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