Individual
THERESA ANN TRIFARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
716 PATCHOGUE RD, PORT JEFFERSON STATION, NY 11776-1025
(631) 331-7631
(631) 476-0858
Mailing address
716 PATCHOGUE RD, PORT JEFFERSON STATION, NY 11776-1025
(631) 331-7631
(631) 476-0858
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013799
NY
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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