Individual
MRS. AUDREY M DEPLATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
400 INTERNATIONAL DRIVE, WILLIAMSVILLE, NY 14221-5771
(716) 631-3555
(716) 631-9525
Mailing address
400 INTERNATIONAL DRIVE, WILLIAMSVILLE, NY 14221-5771
(716) 631-3555
(716) 631-9525
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
042007
NY
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04912474
—
NY
Enumeration date
07/24/2017
Last updated
12/07/2021
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