Individual
THERESA GANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7149 TRANSIT RD, EAST AMHERST, NY 14051-1108
(716) 812-9825
Mailing address
256 WOODCREST BLVD, BUFFALO, NY 14223-1412
(716) 812-9825
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028715
NY
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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