Individual
MISS SAMANTHA SANSONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
20 BUFFALO ST, HAMBURG, NY 14075-5002
(716) 648-3120
Mailing address
5853 ONTARIO, OLCOTT, NY 14126-9522
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029112
NY
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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