Individual
DEANDRA LOREN PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
168 MAIN STREET, SECOND FLOOR, HUNTINGTON, NY 11743
(631) 836-3925
(631) 836-3925
Mailing address
168 MAIN ST FL 2, HUNTINGTON, NY 11743-6919
(631) 836-3925
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032891-01
NY
Other
Enumeration date
10/03/2023
Last updated
04/11/2025
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