Individual
STEPHANIE M PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 ROUTE 304, BARDONIA, NY 10954-2042
(845) 507-0477
Mailing address
175 ROUTE 304, BARDONIA, NY 10954-2042
(845) 507-0477
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024520
NY
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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