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Organization

CAROLYN COOK WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLYN MARIE COOK LMT (SOLE MBR)
(631) 741-0143
Entity
Organization

Contact information

Practice address
861 MONTAUK HWY, BAYPORT, NY 11705-1613
(631) 472-1005
Mailing address
199 BELLPORT AVE, MEDFORD, NY 11763-2219
(631) 741-0143

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
05/01/2023
Last updated
05/01/2023
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