Individual
MICHELE GULLO-BAKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10440 MAIN ST, STE 2, CLARENCE, NY 14031-1627
(716) 868-9975
Mailing address
7540 SALT RD, CLARENCE CENTER, NY 14032-9655
(716) 868-9975
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025754
NY
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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