Individual
COLLEEN WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3940 CALIFORNIA RD, ORCHARD PARK, NY 14127-2275
(716) 662-2922
(716) 662-3828
Mailing address
3940 CALIFORNIA RD, ORCHARD PARK, NY 14127-2275
(716) 662-2922
(716) 662-3828
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4536
NY
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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