Individual
AMMON DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
312 BEACH 89TH ST APT 3, ROCKAWAY BEACH, NY 11693-1404
(646) 327-3942
Mailing address
312 BEACH 89TH ST APT 3, ROCKAWAY BEACH, NY 11693-1404
(646) 327-3942
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032385-01
NY
Other
Enumeration date
03/20/2022
Last updated
03/20/2022
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