National Provider Identifier

Amanda Cavo Bevilacqua, DPT

Amanda Cavo Bevilacqua, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Williamsville, NY and a listed phone number of (716) 218-8215.

NPI 1396149175Williamsville, NYPhysical Therapist

Profile Overview

NPI
1396149175
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
October 22, 2014
Last Updated
January 17, 2020

Practice Location

  • 5501 Main St Rear
  • Williamsville, NY 14221-6763

Phone: (716) 218-8215

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1396149175
Entity Type
Individual
Last Name
Bevilacqua
First Name
Amanda
Middle Name
Cavo
Credential
DPT
Mailing Street Address
5501 Main St Rear
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-6763
Mailing Country
US
Mailing Phone
(716) 218-8215
Practice Street Address
5501 Main St Rear
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-6763
Practice Country
US
Practice Phone
(716) 218-8215
Enumeration Date
October 22, 2014
Last Updated
January 17, 2020
Sex
Female
Sole Proprietor
No
Certification Date
January 17, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)