Individual
ALLYSON TEATOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3767 DELAWARE AVE, KENMORE, NY 14217
(716) 874-6175
Mailing address
395 RONCROFF DR, NORTH TONAWANDA, NY 14120
(716) 940-3762
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008467-01
NY
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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