Individual
LAURA SLAVONIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
275 BAY AVE, PATCHOGUE, NY 11772-4020
(516) 582-2668
Mailing address
275 BAY AVE, PATCHOGUE, NY 11772-4020
(516) 582-2668
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
016042-1
NY
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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