Individual
MS. DIANA ANDERSON RADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
154 PEARL ST, BATAVIA, NY 14020-2914
(585) 993-5368
Mailing address
78 BIRCHWOOD DR, BATAVIA, NY 14020-2943
(585) 993-5368
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
011543-1
NY
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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