Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 9004766 | NY |
NPI | 1003283268 |
---|---|
Provider Name | Arma Foster |
First Address | Lindenhurst, NY 11757-1677 |
Second Address | Lindenhurst, NY 11757-1677 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2015 |
Last Update Date | 24/08/2015 |