Individual
SAMANTHA HANBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
191 NORTON RD, RED HOOK, NY 12571-2503
(845) 546-4122
Mailing address
191 NORTON RD, RED HOOK, NY 12571-2503
(845) 546-4122
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
015260
NY
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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