Individual
DANIEL FREDERICK LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
9 MONROE ST, ELLICOTTVILLE, NY 14731-9607
(716) 699-2508
Mailing address
PO BOX 168, 9 MONROE STREET, ELLICOTTVILLE, NY 14731-0168
(716) 699-2508
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019601
NY
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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