Individual
PAULA DECRESCENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
116 SIERRA VISTA LN, VALLEY COTTAGE, NY 10989-2702
(845) 271-9612
Mailing address
116 SIERRA VISTA LN, VALLEY COTTAGE, NY 10989-2702
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021839
NY
Other
Enumeration date
03/14/2008
Last updated
07/11/2009
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