Individual
JACQUELINE DIANE NITKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
625 PANORAMA TRL, BLDG 1, ROCHESTER, NY 14625-2404
(585) 586-7630
(585) 586-7695
Mailing address
625 PANORAMA TRL, BLDG 1, ROCHESTER, NY 14625-2404
(585) 586-7630
(585) 586-7695
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
015390
NY
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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