Individual
MS. ANN BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
261 YOUNG ST UPPR, WILSON, NY 14172-9699
(716) 751-2105
Mailing address
261 YOUNG ST, PO BOX 931, WILSON, NY 14172-9699
(716) 751-2105
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
014212
NY
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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