Individual
MS. WENDY ANN WILLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4971 WILLIAM ST, SUITE A, LANCASTER, NY 14086-9665
(716) 353-5381
Mailing address
4917 WILLIAM ST, SUITE A, LANCASTER, NY 14086-3200
(716) 353-5381
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
018842
NY
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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