Individual
CHRISTINE J MCGOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6 WESTON ST, HUNTINGTON STATION, NY 11746-4031
(631) 796-7842
Mailing address
457 STAPLES ST, FARMINGDALE, NY 11735-4104
(631) 796-7842
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028015
NY
225700000X
Massage Therapist
14505
NC
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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