Individual
MARILYN ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
478 CENTRAL AVE, BROOKLYN, NY 11221-5202
(718) 801-2732
Mailing address
478 CENTRAL AVE, BROOKLYN, NY 11221-5202
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022146
NY
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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