National Provider Identifier

Laura Marie Favaro, PT, MS

Laura Marie Favaro, PT, MS is listed in the NPPES registry with a primary specialty of Orthopedic Physical Therapist in Amherst, NY and a listed phone number of (716) 839-1550.

NPI 1528113800Amherst, NYOrthopedic Physical Therapist

Profile Overview

NPI
1528113800
Provider Type
Individual
Primary Specialty
Orthopedic Physical Therapist
Enumeration Date
January 24, 2007
Last Updated
April 30, 2009

Practice Location

  • 4498 Main St
  • Suite 24
  • Amherst, NY 14226-3826

Phone: (716) 839-1550

Mailing Address

  • 4498 Main St
  • Suite #24
  • Amherst, NY 14226-3826

Specialties

  • Orthopedic Physical Therapist (2251X0800X)
  • Physical Therapist (225100000X)
Full Record
NPI
1528113800
Entity Type
Individual
Last Name
Favaro
First Name
Laura
Middle Name
Marie
Name Prefix
Mrs.
Credential
PT, MS
Mailing Street Address
4498 Main St
Mailing Address Line 2
Suite #24
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-3826
Mailing Country
US
Mailing Phone
(716) 839-1550
Mailing Fax
(716) 839-1696
Practice Street Address
4498 Main St
Practice Address Line 2
Suite 24
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-3826
Practice Country
US
Practice Phone
(716) 839-1550
Practice Fax
(716) 839-1696
Enumeration Date
January 24, 2007
Last Updated
April 30, 2009
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Orthopedic Physical Therapist (2251X0800X), Physical Therapist (225100000X)
Other Identifiers
02792478 (NY)