Individual
SUSAN M O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2157 MAIN ST, MASSAGE THERAPY DEPARTMENT, BUFFALO, NY 14214-2648
(716) 862-1386
(716) 862-2009
Mailing address
2157 MAIN ST, MASSAGE THERAPY DEPARTMENT, BUFFALO, NY 14214-2648
(716) 862-1386
(716) 862-2009
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
014497-1
NY
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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