Denise Alexandra Gervais, LMT

NPI #1215640123 in Patchogue, New York

Provider Information

NPI Number: 1215640123
Entity Type: Individual
Name: Denise Alexandra Gervais, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jan 5, 2023
Last Updated: Jan 5, 2023

Practice Location

Address: 258 N OCEAN AVE
City: Patchogue
State: New York
ZIP Code: 11772-2008
Phone: (516) 695-4357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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