Individual
ERIN MICHELLE RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
191 DELAWARE ST, TONAWANDA, NY 14150-3519
(716) 692-1711
Mailing address
69 DOLPHIN DR, GRAND ISLAND, NY 14072-2937
(716) 774-8745
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27 009931
NY
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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