Individual
JESSICA J BRIECKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
53 DELLWOOD CT, WESTTOWN, NY 10998-3805
(845) 726-3646
Mailing address
53 DELLWOOD CT, WESTTOWN, NY 10998-3805
(845) 726-3646
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
010410-01
NY
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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