Individual
DONNA LYNNE BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6 ROSE ST, EAST PATCHOGUE, NY 11772-4728
(631) 682-2965
Mailing address
6 ROSE ST, EAST PATCHOGUE, NY 11772-4728
(631) 682-2965
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
018271
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018271
LMT
NY
Enumeration date
11/06/2019
Last updated
11/06/2019
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