Individual
ANN J ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
108 HIGH STONE CIR, PITTSFORD, NY 14534-2866
(585) 381-8791
Mailing address
108 HIGH STONE CIR, PITTSFORD, NY 14534-2866
(585) 381-8791
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
017463-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175979GG
PREFERRED CARE
NY
Enumeration date
11/21/2008
Last updated
11/21/2008
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