Individual
BARBARA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
879 JOHNSON AVE, RONKONKOMA, NY 11779-6081
(631) 935-2182
Mailing address
29 CHARLES ST, CENTEREACH, NY 11720-4043
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0282991
NY
Other
Enumeration date
02/01/2015
Last updated
02/01/2015
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