Michael Desoiza, LMT

NPI #1073081311 in Centereach, New York

Provider Information

NPI Number: 1073081311
Entity Type: Individual
Name: Michael Desoiza, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Nov 5, 2018
Last Updated: Nov 5, 2018

Practice Location

Address: 1787 MIDDLE COUNTRY RD
City: Centereach
State: New York
ZIP Code: 11720-3507
Phone: (631) 767-9337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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