Individual
MRS. CHRISTINE R PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
126 E MAIN ST STE 106, SMITHTOWN, NY 11787-2810
(631) 459-9254
Mailing address
66 OAK ST, CENTEREACH, NY 11720-3839
(631) 972-4933
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022577-1
NY
Other
Enumeration date
10/19/2009
Last updated
05/03/2021
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