Individual
LEAH MARIE RUSINIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9 MONROE ST, ELLICOTTVILLE, NY 14731-9607
(716) 699-2508
Mailing address
11 DANFORTH ST, CHEEKTOWAGA, NY 14227-1609
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
018352
NY
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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