Individual
MICHELE SONNICHSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 OLD FARMINGDALE RD, WEST BABYLON, NY 11704-6509
(631) 626-5791
Mailing address
111 OLD FARMINGDALE RD, WEST BABYLON, NY 11704-6509
(631) 626-5791
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0266381
NY
Other
Enumeration date
05/29/2015
Last updated
11/06/2015
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