Organization
AMPLIFY REHABILITATION PT OT SLP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH AINSWORTH OT (OWNER/PARTNER)
(315) 918-5011
Entity
Organization
Contact information
Practice address
133 CANAL ST, DEXTER, NY 13634
(315) 918-5011
(315) 918-5027
Mailing address
PO BOX 186, DEXTER, NY 13634-0186
(315) 918-5011
(315) 918-5027
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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