Individual
LAURA ANN MAYENIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
910 ASHLAND ST, VALLEY COTTAGE, NY 10989-2613
(914) 310-9740
Mailing address
910 ASHLAND ST, VALLEY COTTAGE, NY 10989-2613
(914) 310-9740
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023928
NY
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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