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Individual

HELENA LISTOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, LLCC

Contact information

Practice address
2349 MONROE AVE, ROCHESTER, NY 14618-3025
(585) 329-8643
Mailing address
137 COLWICK RD, ROCHESTER, NY 14624-1703
(585) 329-8643

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
015525-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
181230GG
PREFERRED CARE PROV #
NY
Enumeration date
06/11/2007
Last updated
07/08/2007
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