Mother Hen Massage

NPI #1063233328 in Southold, New York

Provider Information

NPI Number: 1063233328
Entity Type: Organization
Organization Name: Mother Hen Massage
Subpart: Yes (part of a larger organization)
Parent Organization: MOTHER HEN MASSAGE
Primary Specialty: Massage Therapist
Enumeration Date: Oct 21, 2024
Last Updated: Oct 21, 2024

Practice Location

Address: 43375 NORTH RD STE 4
City: Southold
State: New York
ZIP Code: 11971-5018
Phone: (516) 736-4691

Authorized Official

Name: NORA DIFABIO
Title: OWNER
Phone: (516) 736-4691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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