Individual
KATIE WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
Mailing address
130 S MEADOW DR, NORTH TONAWANDA, NY 14120-4825
(716) 291-4513
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
01/28/2025
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