Individual
BRENDA ALTAGRACIA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
182 S MAIN ST, NEW CITY, NY 10956-3318
(845) 358-4000
Mailing address
182 S MAIN ST, NEW CITY, NY 10956-3318
(845) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
015650
NY
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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