Individual
MRS. SHANNON LYNNE ANDRIATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2495 MAIN ST STE 234, BUFFALO, NY 14214-2152
(716) 836-5929
Mailing address
132 WESTFALL DR, TONAWANDA, NY 14150-7132
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007632
NY
Other
Enumeration date
03/10/2018
Last updated
03/10/2018
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