Individual
HOLLY DAWN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 MAIN ST, SAYVILLE, NY 11782-2501
(631) 510-4073
Mailing address
55 MAIN ST, SAYVILLE, NY 11782-2501
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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