Individual
RACHEL ANNE LONGWITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3377 LAKE SHORE RD, BUFFALO, NY 14219-1437
(716) 422-0070
Mailing address
3377 LAKE SHORE RD, BUFFALO, NY 14219-1437
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012108-01
NY
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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