Individual
MS. TINA LYNN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
328 BROADWAY, BETHPAGE, NY 11714-3007
(516) 938-8937
Mailing address
35 RIDGE RD, WHEATLEY HTS, NY 11798-1030
(516) 938-8937
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
014867
NY
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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