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Dominic Concepcion, MT
Massage Therapist in Lyndhurst, New Jersey
NPI 1184272866

Dominic Concepcion is a Massage Therapist based in Lyndhurst, NJ. Dominic Concepcion practices in Lyndhurst, NJ and has the professional credentials of MT. The NPI Number for Dominic Concepcion is 1184272866 and holds a License No. 18KT01348000 (New Jersey).

The current practice location address for Dominic Concepcion is 377 Thomas Ave, Lyndhurst, NJ and can be reached out via phone at 718-710-1981.

Location: 377 Thomas Ave, Lyndhurst, NJ, 07071-3146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184272866
Provider Name
Dominic Concepcion
Credential
MT
Provider Entity Type
Individual
Gender
Male
Address
377 Thomas Ave, Lyndhurst, NJ, 07071-3146
Phone Number
718-710-1981
Fax Number
Provider Enumeration Date
08/27/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18KT01348000 01 NJ NJ STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
377 Thomas Ave
City
Lyndhurst
State
New Jersey
Zip
07071-3146
Phone Number
718-710-1981
Fax Number
person
Provider Business Mailing Address Details
Address
377 Thomas Ave
City
Lyndhurst
State
New Jersey
Zip
07071-3146
Phone Number
718-710-1981
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
18KT01348000 (New Jersey)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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