Individual
LISA PREITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
57 MAIN ST, KINGS PARK, NY 11754-2706
(631) 292-2698
Mailing address
57 MAIN ST, KINGS PARK, NY 11754-2706
(631) 292-2698
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013465
NY
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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