Individual
LINDA LELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
672 WELLWOOD AVE, LINDENHURST, NY 11757-1677
(631) 956-2225
Mailing address
193 N MANHATTAN AVE, MASSAPEQUA, NY 11758-3437
(516) 729-5227
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019094
NY
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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