Individual
CHRISTINE M SPANBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
40 MAIN ST, NORTHPORT, NY 11768-1722
(631) 651-9623
(631) 651-9421
Mailing address
40 MAIN ST, NORTHPORT, NY 11768-1722
(631) 651-9623
(631) 651-9421
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019023-1
NY
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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