National Provider Identifier

Tara Prishwalko, PT

Tara Prishwalko, PT is listed in the NPPES registry with a primary specialty of Geriatric Physical Therapist in Hamburg, NY and a listed phone number of (716) 474-6285.

NPI 1346602398Hamburg, NYGeriatric Physical Therapist

Profile Overview

NPI
1346602398
Provider Type
Individual
Primary Specialty
Geriatric Physical Therapist
Enumeration Date
March 28, 2016
Last Updated
March 28, 2016

Practice Location

  • 4482 Kathaleen St
  • Hamburg, NY 14075-1111

Phone: (716) 474-6285

Specialties

  • Geriatric Physical Therapist (2251G0304X)
Full Record
NPI
1346602398
Entity Type
Individual
Last Name
Prishwalko
First Name
Tara
Credential
PT
Mailing Street Address
4482 Kathaleen St
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-1111
Mailing Country
US
Practice Street Address
4482 Kathaleen St
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075-1111
Practice Country
US
Practice Phone
(716) 474-6285
Enumeration Date
March 28, 2016
Last Updated
March 28, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Geriatric Physical Therapist (2251G0304X)