Individual
MRS. LAURA MARIE FAVARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, MS
Contact information
Practice address
4498 MAIN ST, SUITE 24, AMHERST, NY 14226-3826
(716) 839-1550
(716) 839-1696
Mailing address
4498 MAIN ST, SUITE #24, AMHERST, NY 14226-3826
(716) 839-1550
(716) 839-1696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
28030
NY
2251X0800X
Orthopedic Physical Therapist
Primary
028030
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02792478
—
NY
Enumeration date
01/24/2007
Last updated
04/30/2009
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