Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 011242 | NY |
NPI | 1013127927 |
---|---|
Provider Name | Mrs. Ann E. Orffeo |
First Address | Tonawanda, NY 14150-4207 |
Second Address | Amherst, NY 14226-2004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 08/07/2007 |