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Individual

KATHY ANNE RESASCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
60 LORRAINE CT, HOLBROOK, NY 11741-1540
(631) 737-2070
(631) 737-2070
Mailing address
PO BOX 13, RONKONKOMA, NY 11779-0013
(631) 737-2070
(631) 737-2070

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024425
NY

Other

Enumeration date
03/02/2011
Last updated
03/02/2011
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