Individual
ROSEMARY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
290 OLD MONTAUK HWY, MONTAUK, NY 11954-5048
(631) 668-2345
Mailing address
PO BOX 2278, SAG HARBOR, NY 11963-0112
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029929
NY
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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