Individual
ELIZA TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
36 PATTON AVE, WYANDANCH, NY 11798
(631) 253-2915
Mailing address
36 PATTON AVE, WYANDANCH, NY 11798
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
00196000384
VA
225700000X
Massage Therapist
Primary
004445-01
NY
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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