Individual
AUTUM LEIGH ROTACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
10700 JOHN ST, BARNEVELD, NY 13304-2911
(917) 455-2032
Mailing address
10700 JOHN ST, BARNEVELD, NY 13304-2911
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004409
NY
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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