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Bonnie Taub, LMT
Massage Therapist in Port Jefferson, New York
NPI 1851481279

Bonnie Taub is a Massage Therapist based in Lake Grove, NY. Bonnie Taub practices in Port Jefferson, NY and has the professional credentials of LMT. The NPI Number for Bonnie Taub is 1851481279 and holds a License No. 010745 (New York).

The current practice location address for Bonnie Taub is 640 Belle Terre Rd Ste J2, Port Jefferson, NY and can be reached out via phone at 631-476-3903. You can also correspond with Bonnie Taub through the mailing address at 16 RADFORD RD, LAKE GROVE, NY - 11755-2610 (mailing address contact number: 631-585-1092).

Location: 640 Belle Terre Rd Ste J2, Port Jefferson, NY, 11755-2610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851481279
Provider Name
Bonnie Taub
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
640 Belle Terre Rd Ste J2, Port Jefferson, NY, 11755-2610
Phone Number
631-476-3903
Fax Number
Provider Enumeration Date
10/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
640 Belle Terre Rd Ste J2
City
Port Jefferson
State
New York
Zip
11777-1936
Phone Number
631-476-3903
Fax Number
person
Provider Business Mailing Address Details
Address
640 Belle Terre Rd Ste J2
City
Port Jefferson
State
New York
Zip
11777-1936
Phone Number
631-476-3903
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
010745 (New York)
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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