Individual
AMANDA CAVO BEVILACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5501 MAIN ST REAR, WILLIAMSVILLE, NY 14221-6763
(716) 218-8215
Mailing address
5501 MAIN ST REAR, WILLIAMSVILLE, NY 14221-6763
(716) 218-8215
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040105
NY
Other
Enumeration date
10/22/2014
Last updated
01/17/2020
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