Amanda Jeanne Chisamore, PT
Physical Therapist in Liverpool, NY. Individual provider (NPI-1).
NPI number1477897635
StatusActive
Last updated in NPPESNov 21, 2013
Details
- NPI
- 1477897635
- Entity type
- Individual (NPI-1)
- Name
- Amanda Jeanne Chisamore
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 12, 2012
- Last updated
- Nov 21, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 035864 | NY | Yes |
Practice location
718 Old Liverpool RdLiverpool, NY 13088-6035
Phone 315-457-7005 · Fax 315-457-7214
Mailing address
718 Old Liverpool RdLiverpool, NY 13088-6035
Phone 315-457-7005 · Fax 315-457-7214
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