Individual
MARIA MOURELATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5 PEPPER CIR W, MASSAPEQUA, NY 11758-3515
(631) 645-8329
Mailing address
5 PEPPER CIR W, MASSAPEQUA, NY 11758-3515
(516) 795-7303
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032979-01
NY
Other
Enumeration date
06/29/2007
Last updated
01/17/2024
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