| Marisa Chadbourne, LMT | |
|
124 Main Street, Sayville, NY 11782-2952 | |
| (631) 403-6013 | |
| Not Available |
| Full Name | Marisa Chadbourne |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 124 Main Street, Sayville, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003213232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 021161 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Marisa Chadbourne, LMT Po Box 53, Sayville, NY 11782-0053 Ph: (631) 403-6013 | Marisa Chadbourne, LMT 124 Main Street, Sayville, NY 11782-2952 Ph: (631) 403-6013 |
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