Individual
AMANDA ELYSE COAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4000
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
036438-1
NY
Other
Enumeration date
12/16/2013
Last updated
04/06/2020
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