National Provider Identifier
Jacqueline Alisse Slagor, PT, DPT
Jacqueline Alisse Slagor, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Buffalo, NY and a listed phone number of (716) 748-3197.
Profile Overview
- NPI
- 1457879058
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- September 03, 2017
- Last Updated
- September 03, 2017
Practice Location
- 1031 Michigan Ave
- Buffalo, NY 14203
Phone: (716) 748-3197
Mailing Address
- 189 Dubonnet Dr
- Depew, NY 14043
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1457879058
- Entity Type
- Individual
- Last Name
- Slagor
- First Name
- Jacqueline
- Middle Name
- Alisse
- Credential
- PT, DPT
- Mailing Street Address
- 189 Dubonnet Dr
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043
- Mailing Country
- US
- Practice Street Address
- 1031 Michigan Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203
- Practice Country
- US
- Practice Phone
- (716) 748-3197
- Enumeration Date
- September 03, 2017
- Last Updated
- September 03, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)