Individual
AMANDA RACHEL LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4635 UNION RD, CHEEKTOWAGA, NY 14225-1851
(716) 505-5700
Mailing address
130 PLEASANT VIEW DR, LANCASTER, NY 14086-1011
(716) 220-0725
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
051186
NY
Other
Enumeration date
08/22/2023
Last updated
05/27/2025
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