Individual
LINDA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
700 HORSEBLOCK RD, FARMINGVILLE, NY 11738-1240
(631) 804-5888
Mailing address
64 BARLEY LN, PATCHOGUE, NY 11772-4177
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019401
NY
225700000X
Massage Therapist
019401
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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