Individual
REBECCA M PARADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 PORTION RD UNIT 21, RONKONKOMA, NY 11779-1867
(631) 716-4354
Mailing address
PO BOX 2271, RONKONKOMA, NY 11779-0405
(631) 716-4354
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024384
NY
Other
Enumeration date
04/03/2019
Last updated
05/20/2022
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