National Provider Identifier

Cynthia M Peterson

Cynthia M Peterson 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 1275205700Kenmore, NYPhysical Therapy Assistant

Profile Overview

NPI
1275205700
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
October 04, 2021
Last Updated
October 04, 2021

Practice Location

  • 3767 Delaware Ave
  • Kenmore, NY 14217-1040

Phone: (716) 874-6175

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1275205700
Entity Type
Individual
Last Name
Peterson
First Name
Cynthia
Middle Name
M
Mailing Street Address
3767 Delaware Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-1040
Mailing Country
US
Mailing Phone
(716) 874-6175
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
October 04, 2021
Last Updated
October 04, 2021
Sex
Female
Sole Proprietor
No
Certification Date
October 04, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)