Individual
KRISTEN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
672 WELLWOOD AVE, LINDENHURST, NY 11757-1677
(631) 225-2623
(319) 913-3866
Mailing address
672 WELLWOOD AVE, LINDENHURST, NY 11757-1677
(631) 225-2623
(319) 913-3866
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032085-01
NY
Other
Enumeration date
07/05/2020
Last updated
07/05/2020
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