Individual
DONELLE TERESA FALCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
989 KENMORE AVE, KENMORE, NY 14217-2924
(716) 335-9711
Mailing address
203 DECATUR ST # 101, CORNING, NY 14830-1907
(315) 955-5797
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031211-1
NY
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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