Individual
MRS. AMY J WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T.
Contact information
Practice address
3085 HARLEM ROAD, SUITE 200, CHEEKTOWAGA, NY 14225-2591
(716) 844-5000
(716) 844-5050
Mailing address
3085 HARLEM ROAD, SUITE 200, CHEEKTOWAGA, NY 14225-2591
(716) 844-5000
(716) 844-5050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
030475-1
NY
225100000X
Physical Therapist
030475-NG
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000531015001
BLUE CROSS WNY
NY
01
—
1053747
GHI
NY
01
—
11303
AETNA/MAGNCARE
NY
01
—
1477707198
UNIVERA
NY
01
—
9315468
INDEPENDENT HEALTH
NY
Enumeration date
11/07/2008
Last updated
10/11/2011
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