Organization
FUNCTIONAL MASSAGE & PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY S PECK LMT (OWNER)
(516) 355-1792
Entity
Organization
Contact information
Practice address
1054 LITTLE EAST NECK RD, WEST BABYLON, NY 11704-2413
(516) 355-1792
Mailing address
1054 LITTLE EAST NECK RD, WEST BABYLON, NY 11704-2413
(516) 355-1792
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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