Organization
THERABOOTIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN ANNE ZICCARELLI (PRESIDENT)
(716) 941-6276
Entity
Organization
Contact information
Practice address
7521 IRISH RD, WEST FALLS, NY 14170-9624
(716) 941-6276
(716) 941-6276
Mailing address
7521 IRISH RD, WEST FALLS, NY 14170-9624
(716) 941-6276
(716) 941-6276
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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