Individual
MISS TARA LAURENZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, RYT
Contact information
Practice address
752 ASHLAND AVE, BUFFALO, NY 14222-1120
(716) 308-4285
Mailing address
752 ASHLAND AVE, BUFFALO, NY 14222-1120
(716) 308-4285
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
011411-1
NY
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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