Individual
MARGARET DIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
230 W 107TH ST APT 5F, NEW YORK, NY 10025-3048
(347) 835-2694
Mailing address
230 W 107TH ST APT 5F, NEW YORK, NY 10025-3048
(347) 835-2694
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
010607-1
NY
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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