Individual
MISS ALEXIS LISA MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2540 SHERIDAN DR, TONAWANDA, NY 14150-9410
(716) 862-0567
Mailing address
6965 GOLDFINCH CT, NORTH TONAWANDA, NY 14120-1376
(716) 548-2930
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NY
Other
Enumeration date
05/24/2021
Last updated
11/27/2023
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