Individual
MS. JESSICA I KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
26 CHESTNUT LN, WOODBURY, NY 11797-1911
(516) 317-7210
Mailing address
26 CHESTNUT LN, WOODBURY, NY 11797-1911
(516) 317-7210
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021665-1
NY
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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