Individual
SAMANTHA LOUIES ROCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5461 MAIN ST, WILLIAMSVILLE, NY 14221-6701
(716) 380-7351
Mailing address
3565 ROSE RD, BATAVIA, NY 14020-9552
(716) 380-7351
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030933
NY
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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