Individual
MS. MARTHA ANN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
2 CORACI BLVD, SUITE 5, SHIRLEY, NY 11967-4833
(631) 281-0606
(631) 281-0990
Mailing address
2 CORACI BLVD, SUITE 5, SHIRLEY, NY 11967-4833
(631) 281-0606
(631) 281-0990
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
011597-1
NY
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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