Individual
GINA MARIE MONTALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
28 PINE RIDGE LN, ACCORD, NY 12404-5753
(914) 388-9694
Mailing address
28 PINE RIDGE LN, ACCORD, NY 12404-5753
(914) 388-9694
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023410-1
NY
Other
Enumeration date
01/25/2012
Last updated
10/03/2013
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