Susan Gabriela Dutan Urbina, MT Valid NPI
Individual provider · Massage Therapist · Woodhaven, NY
- NPI
- 1093354094
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- 026621 (NY)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2019-12-23
- Last updated
- 2019-12-23
Practice location
8811 Jamaica Ave
Woodhaven, NY 11421-2039
(718) 846-2300