Individual
STEPHANIE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
461 BUFFALO CT, WEST NEW YORK, NJ 07093-8322
(201) 888-2498
Mailing address
461 BUFFALO CT, WEST NEW YORK, NJ 07093-8322
(201) 888-2498
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
016345
NY
Other
Enumeration date
03/28/2018
Last updated
06/09/2023
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