National Provider Identifier

Susan Ann Willows, PTA

Susan Ann Willows, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Kenmore, NY and a listed phone number of (716) 874-6175.

NPI 1104197888Kenmore, NYPhysical Therapy Assistant

Profile Overview

NPI
1104197888
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
January 26, 2012
Last Updated
January 26, 2012

Practice Location

  • 3767 Delaware Ave
  • Kenmore, NY 14217-1040

Phone: (716) 874-6175

Mailing Address

  • 7009 Jennifer Ct
  • Niagara Falls, NY 14304-3007

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1104197888
Entity Type
Individual
Last Name
Willows
First Name
Susan
Middle Name
Ann
Credential
PTA
Mailing Street Address
7009 Jennifer Ct
Mailing City
Niagara Falls
Mailing State
NY
Mailing ZIP Code
14304-3007
Mailing Country
US
Mailing Phone
(716) 731-7001
Practice Street Address
3767 Delaware Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1040
Practice Country
US
Practice Phone
(716) 874-6175
Enumeration Date
January 26, 2012
Last Updated
January 26, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)