Individual
THIRSA GUMELA SCANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
8412 127TH ST, KEW GARDENS, NY 11415-2825
(347) 285-2266
Mailing address
8412 127TH ST, KEW GARDENS, NY 11415-2825
(347) 285-2266
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019231-1
NY
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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