Individual
MISS SHANNON DANETTE O TOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT LICENSED MASSAGE
Contact information
Practice address
390 MERRICK AVENUE, EAST MEADOW, NY 11554
(516) 489-2212
(516) 489-5132
Mailing address
159 GARFIELD STREET, FREEPORT, NY 11520
(516) 867-0296
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0120971
NY
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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