Individual
CHRISTINE RIDEOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
341 MAIN ST, ISLIP, NY 11751-3550
(631) 575-8791
Mailing address
1324 POTTER BLVD, BAY SHORE, NY 11706-4806
(631) 575-8791
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
016967
NY
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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