Individual
LAURA L GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 KENSINGTON CT, COPIAGUE, NY 11726-4524
(516) 429-9480
Mailing address
305 KENSINGTON CT, COPIAGUE, NY 11726-4524
(516) 429-9480
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023931-1
NY
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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