Individual
REBECCA DEROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
533 COLD SPRING RD # A, SYOSSET, NY 11791-1206
(515) 526-6221
Mailing address
533 COLD SPRING RD # A, SYOSSET, NY 11791-1206
(515) 526-6221
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028325
NY
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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