Individual
AMANDA MARGARET SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1500 PORTLAND AVE, ROCHESTER, NY 14621-3065
(585) 697-6000
Mailing address
16 SOLMAR DR, ROCHESTER, NY 14624-5215
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012888
NY
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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