National Provider Identifier
Tina Marie Degeorge, MSPT
Tina Marie Degeorge, MSPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Kenmore, NY and a listed phone number of (716) 871-9883.
Profile Overview
- NPI
- 1144282385
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- April 04, 2006
- Last Updated
- October 07, 2025
Practice Location
- 2900 Delaware Ave
- Kenmore, NY 14217-2309
Phone: (716) 871-9883
Mailing Address
- 4360 Autumn Trl
- Clarence, NY 14031-2301
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1144282385
- Entity Type
- Individual
- Last Name
- Degeorge
- First Name
- Tina
- Middle Name
- Marie
- Credential
- MSPT
- Mailing Street Address
- 4360 Autumn Trl
- Mailing City
- Clarence
- Mailing State
- NY
- Mailing ZIP Code
- 14031-2301
- Mailing Country
- US
- Mailing Phone
- (716) 698-2428
- Practice Street Address
- 2900 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-2309
- Practice Country
- US
- Practice Phone
- (716) 871-9883
- Enumeration Date
- April 04, 2006
- Last Updated
- October 07, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 07, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)