Individual
LISA POWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
465 MARINERS WAY, COPIAGUE, NY 11726-5114
(516) 241-6278
Mailing address
465 MARINERS WAY, COPIAGUE, NY 11726-5114
(516) 241-6278
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019662
NY
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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