Individual
AMANDA SMITH-SOCARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
609 N FRANKLIN ST, WATKINS GLEN, NY 14891-1302
(607) 535-7475
(607) 535-7445
Mailing address
609 N FRANKLIN ST, WATKINS GLEN, NY 14891-1302
(607) 535-7475
(607) 535-7445
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
018951
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02226644
—
NY
Enumeration date
08/16/2005
Last updated
09/03/2009
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