Individual
MS. JESSICA ANN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6 KELSEY AVE, HUNTINGTON STATION, NY 11746-1110
(631) 427-3183
Mailing address
6 KELSEY AVE, HUNTINGTON STATION, NY 11746-1110
(631) 427-3183
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
017967-1
NY
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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