Individual
AMANDA JEANNE CHISAMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
718 OLD LIVERPOOL RD, LIVERPOOL, NY 13088-6035
(315) 457-7005
(315) 457-7214
Mailing address
718 OLD LIVERPOOL RD, LIVERPOOL, NY 13088-6035
(315) 457-7005
(315) 457-7214
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
035864
NY
Other
Enumeration date
11/12/2012
Last updated
11/21/2013
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