Individual
DR. THERESA MIYASHITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ATC
Contact information
Practice address
598 LAFAYETTE AVE UNIT 207, BUFFALO, NY 14222-1481
(716) 812-8276
Mailing address
598 LAFAYETTE AVE UNIT 207, BUFFALO, NY 14222-1481
(716) 812-8276
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003864
NY
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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