Individual
MS. PATTY LO KALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
512 7TH AVE FL 14, NEW YORK, NY 10018-4603
(212) 768-7979
Mailing address
9805 63RD RD APT 12N, REGO PARK, NY 11374-1723
(917) 340-1334
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022906-1
NY
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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