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Individual

MICHELE WEEKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT, CPT

Contact information

Practice address
4217 MERRICK RD, MASSAPEQUA, NY 11758-6015
(516) 837-0169
Mailing address
100 BEVERLY AVE, MASSAPEQUA PARK, NY 11762-3620
(516) 837-0169

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
T139259
NY
225700000X
Massage Therapist
Primary
009687-1
NY

Other

Enumeration date
02/14/2008
Last updated
05/06/2009
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