Individual
LAKISHA GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5570 MAIN STREET, WILLIAMSVILLE, NY 14221-3317
(716) 250-4137
Mailing address
5570 MAIN STREET, WILLIAMSVILLE, NY 14221-3317
(716) 250-4137
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
036564
NY
Other
Enumeration date
04/26/2015
Last updated
10/12/2015
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