Individual
MS. ANDREA L TAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
953 HIGH ST, VICTOR, NY 14564-1168
(585) 924-3252
Mailing address
6311 LAMBERT ST, VICTOR, NY 14564-9254
(585) 944-4664
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
021124
NY
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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