National Provider Identifier
Olivia Young
Olivia Young is listed in the NPPES registry with a primary specialty of Physical Therapist in West Seneca, NY and a listed phone number of (716) 456-8383.
Profile Overview
- NPI
- 1417637125
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- July 19, 2023
- Last Updated
- July 19, 2023
Practice Location
- 2100 Union RD
- West Seneca, NY 14224-1400
Phone: (716) 456-8383
Mailing Address
- 98 Gardenwood Ln
- Buffalo, NY 14223-1148
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1417637125
- Entity Type
- Individual
- Last Name
- Young
- First Name
- Olivia
- Mailing Street Address
- 98 Gardenwood Ln
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14223-1148
- Mailing Country
- US
- Practice Street Address
- 2100 Union RD
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-1400
- Practice Country
- US
- Practice Phone
- (716) 456-8383
- Enumeration Date
- July 19, 2023
- Last Updated
- July 19, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 03, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)