Individual
MRS. JUDITH ANN LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5150 BROADWAY, DEPEW, NY 14043-4021
(716) 913-8370
(716) 681-0232
Mailing address
29 CHURCH ST, LANCASTER, NY 14086-2603
(716) 681-0232
(716) 681-0232
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
008908-01
NY
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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