Individual
TARA PRISHWALKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4482 KATHALEEN ST, HAMBURG, NY 14075-1111
(716) 474-6285
Mailing address
4482 KATHALEEN ST, HAMBURG, NY 14075-1111
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
8727347
NY
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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