Individual
LEAH MARIE IVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
285 MIDWOOD ST, BROOKLYN, NY 11225-5407
(586) 212-4294
Mailing address
285 MIDWOOD ST, BROOKLYN, NY 11225-5407
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024493-1
NY
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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