Individual
COURTNEY RUBENACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
672 FULTON ST, APARTMENT 1G, FARMINGDALE, NY 11735-3457
(516) 351-8824
Mailing address
672 FULTON ST, APARTMENT 1G, FARMINGDALE, NY 11735-3457
(516) 351-8824
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013800
NY
Other
Enumeration date
10/03/2008
Last updated
10/06/2008
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