Petrina Loree Derobertis, LMT

NPI #1467941138 in Selden, New York

Provider Information

NPI Number: 1467941138
Entity Type: Individual
Name: Petrina Loree Derobertis, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: May 8, 2018
Last Updated: Jun 21, 2023

Practice Location

Address: 1305 MIDDLE COUNTRY RD
City: Selden
State: New York
ZIP Code: 11784-2554
Phone: (631) 880-3810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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