National Provider Identifier
Charissa L. Dupont, PTA
Charissa L. Dupont, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Williamsville, NY and a listed phone number of (716) 250-4137.
Profile Overview
- NPI
- 1265773873
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- March 06, 2013
- Last Updated
- March 06, 2013
Practice Location
- 5570 Main St
- Williamsville, NY 14221-5477
Phone: (716) 250-4137
Mailing Address
- 5657 E Main Street RD
- Batavia, NY 14020-9609
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1265773873
- Entity Type
- Individual
- Last Name
- Dupont
- First Name
- Charissa
- Middle Name
- L.
- Credential
- PTA
- Mailing Street Address
- 5657 E Main Street RD
- Mailing City
- Batavia
- Mailing State
- NY
- Mailing ZIP Code
- 14020-9609
- Mailing Country
- US
- Mailing Phone
- (585) 746-3284
- Practice Street Address
- 5570 Main St
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5477
- Practice Country
- US
- Practice Phone
- (716) 250-4137
- Enumeration Date
- March 06, 2013
- Last Updated
- March 06, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)