Individual
PATRICIA DAWN LIANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
449 MAIN STREET, GREENPORT, NY 11944
(631) 407-5040
Mailing address
449 MAIN ST APT 1, GREENPORT, NY 11944-1498
(631) 407-5040
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
00699-3
NY
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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