Individual
SUSAN ANN WILLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
Mailing address
7009 JENNIFER CT, NIAGARA FALLS, NY 14304-3007
(716) 731-7001
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004213-1
NY
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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