Individual
LISA A WALKUSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
24527A 77TH CRES, BELLEROSE, NY 11426-1883
(917) 705-7245
Mailing address
24527A 77TH CRES, BELLEROSE, NY 11426-1883
(917) 705-7245
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027996
NY
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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