Organization
DYNAMIC WELLNESS NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CLOW LMT (OWNER)
(518) 951-4914
Entity
Organization
Contact information
Practice address
632 PLANK RD STE 208, CLIFTON PARK, NY 12065-2034
(518) 951-4914
Mailing address
68 COLUMBUS AVE, WATERFORD, NY 12188-2129
(518) 951-4914
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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