Individual
JOANNA EDMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2056 DEER PARK AVE, DEER PARK, NY 11729-2128
(631) 940-6095
(631) 392-4641
Mailing address
PO BOX 6051, NORTH BABYLON, NY 11703-0099
(631) 241-3034
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024914-01
NY
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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