Individual
MISS GAIL MARIE GIESSERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
Mailing address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003840-1
NY
Other
Enumeration date
07/04/2011
Last updated
07/04/2011
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