National Provider Identifier

Paige Rider, PTA

Paige Rider, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Depew, NY and a listed phone number of (716) 651-0100.

NPI 1184000770Depew, NYPhysical Therapy Assistant

Profile Overview

NPI
1184000770
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
August 05, 2015
Last Updated
August 05, 2015

Practice Location

  • 3260 Walden Ave
  • Suite 100
  • Depew, NY 14043-2842

Phone: (716) 651-0100

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1184000770
Entity Type
Individual
Last Name
Rider
First Name
Paige
Credential
PTA
Mailing Street Address
3260 Walden Ave
Mailing Address Line 2
Suite 100
Mailing City
Depew
Mailing State
NY
Mailing ZIP Code
14043-2842
Mailing Country
US
Mailing Phone
(716) 651-0100
Mailing Fax
(716) 651-0151
Practice Street Address
3260 Walden Ave
Practice Address Line 2
Suite 100
Practice City
Depew
Practice State
NY
Practice ZIP Code
14043-2842
Practice Country
US
Practice Phone
(716) 651-0100
Practice Fax
(716) 651-0151
Enumeration Date
August 05, 2015
Last Updated
August 05, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)