Individual
LEANNA FOURNIOTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8003 211TH ST, QUEENS VILLAGE, NY 11427-1012
(646) 637-6641
Mailing address
19636 45TH AVE, FLUSHING, NY 11358-3508
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025995
NY
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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