Individual
SARAH GLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1386 ROUTE 25A, EAST SETAUKET, NY 11733-2842
(631) 751-2374
Mailing address
1386 ROUTE 25A, EAST SETAUKET, NY 11733-2842
(631) 751-2374
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028460-1
NY
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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