Individual
DEBRA ANN GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3075 VETERANS MEMORIAL HWY STE 101, RONKONKOMA, NY 11779-7600
(318) 052-8506
(631) 670-6475
Mailing address
3075 VETERANS MEMORIAL HWY STE 101, RONKONKOMA, NY 11779-7600
(631) 389-4640
(631) 670-6475
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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