Individual
VANESSA WACHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 SEABROOK ST, BUFFALO, NY 14207-1320
(716) 361-7533
Mailing address
54 SEABROOK ST, BUFFALO, NY 14207-1320
(716) 361-7533
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002179-1
NY
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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