Individual
MS. LISA P. MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MLD-C
Contact information
Practice address
1 OLD COUNTRY ROAD, SUITE 102, C/O LISA MITCHELL, SUITE 408, GARDEN CITY, NY 11530
(516) 885-6011
Mailing address
68 WEATHERBY LN, CENTRAL ISLIP, NY 11722-4549
(516) 885-6011
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030106-02
NY
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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