Individual
MRS. CARRIE ANN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
115 BROADHOLLOW RD, MELVILLE, NY 11747-4992
(631) 990-4352
Mailing address
83 JOANNE DR, HOLBROOK, NY 11741-5604
(631) 872-7987
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
008724
NY
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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