Individual
JENNIFER MARIE VAN DYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
206 FOLTIM WAY, CONGERS, NY 10920-1432
(845) 304-0342
Mailing address
206 FOLTIM WAY, CONGERS, NY 10920-1432
(845) 304-0342
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00101700
NJ
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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