Individual
CLARE O'HANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 TECHNOLOGY DR, SUITE 104, EAST SETAUKET, NY 11733-3327
(631) 689-8662
Mailing address
7 WAINSCOTT DR, SOUND BEACH, NY 11789-2337
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024361
NY
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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