Individual
HEATHER L HOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
100 HICKSVILLE RD, MASSAPEQUA, NY 11758-5823
(516) 972-3499
Mailing address
17 LAFAYETTE PL, MASSAPEQUA, NY 11758-7946
(516) 972-3499
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020334
NY
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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