Individual
AMANDA LYN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
777 MARYVALE DR, CHEEKTOWAGA, NY 14225-2712
(716) 631-9515
Mailing address
777 MARYVALE DR, CHEEKTOWAGA, NY 14225-2712
(716) 631-9515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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