Individual
THEODORA FIOTODIMITRAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, CHHC
Contact information
Practice address
2178 21ST ST, ASTORIA, NY 11105-3618
(646) 504-2112
Mailing address
2112 DITMARS BLVD, ASTORIA, NY 11105-3417
(646) 359-2498
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
NY
225700000X
Massage Therapist
Primary
033056
NY
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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