Individual
JONATHAN P WASCAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4269 SAINT FRANCIS DR, HAMBURG, NY 14075-1724
(716) 627-3668
(716) 627-2332
Mailing address
4269 SAINT FRANCIS DR, HAMBURG, NY 14075-1724
(716) 627-3668
(716) 627-2332
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
016680-1
NY
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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