Jonathan Carter

NPI #1154725547 in Islip, New York

Provider Information

NPI Number: 1154725547
Entity Type: Individual
Name: Jonathan Carter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Oct 15, 2014
Last Updated: Oct 15, 2014

Practice Location

Address: 54 WAVE CREST DR
City: Islip
State: New York
ZIP Code: 11751-4016
Phone: (516) 240-5127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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