Individual
SANDY J ULRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
162 MAIN ST, HAMBURG, NY 14075-4917
(716) 627-4704
Mailing address
162 MAIN ST, HAMBURG, NY 14075-4917
(716) 627-4704
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0153231
NY
Other
Enumeration date
10/02/2006
Last updated
08/24/2015
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