Individual
KELLY DUNNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4206 212TH ST APT 1E, BAYSIDE, NY 11361-2840
(845) 863-7157
Mailing address
4206 212TH ST APT 1E, BAYSIDE, NY 11361-2840
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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