Individual
OLIVIA OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4155 VETERANS HWY STE 5, RONKONKOMA, NY 11779-6063
(631) 412-4800
Mailing address
1363 CHURCH ST, BOHEMIA, NY 11716-5013
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031789
NY
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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