Individual
DANIELLE WOHLFARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
672 WELLWOOD AVE UNIT 2, LINDENHURST, NY 11757-1677
(631) 225-2623
Mailing address
288 SHEFFIELD AVE, WEST BABYLON, NY 11704-5331
(631) 946-1441
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029755-1
NY
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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