Individual
MARY DITTENHAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6281 TRANSIT RD, EAST AMHERST, NY 14051-1601
(716) 639-0550
Mailing address
6281 TRANSIT RD, EAST AMHERST, NY 14051-1601
(716) 639-0550
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
009188
NY
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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