Individual
REBECCA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LLCC
Contact information
Practice address
123 FENIMORE ST, BROOKLYN, NY 11225-5368
(917) 865-1643
Mailing address
123 FENIMORE ST, BROOKLYN, NY 11225-5368
(917) 865-1643
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024689
NY
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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