Individual
DANIELLE DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141 CHAUTAUQUA AVE, LAKEWOOD, NY 14750-1240
(716) 763-7665
Mailing address
141 CHAUTAUQUA AVE, LAKEWOOD, NY 14750-1240
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0200121
NY
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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