National Provider Identifier

Marybeth Disanza, PT

Marybeth Disanza, PT is listed in the NPPES registry with a primary specialty of Sports Physical Therapist in Amherst, NY and a listed phone number of (716) 250-6492.

NPI 1740719269Amherst, NYSports Physical Therapist

Profile Overview

NPI
1740719269
Provider Type
Individual
Primary Specialty
Sports Physical Therapist
Enumeration Date
June 08, 2017
Last Updated
June 08, 2017

Practice Location

  • 3925 Sheridan Dr
  • Amherst, NY 14226-1738

Phone: (716) 250-6492

Mailing Address

  • 32 Ivy Bridge Way
  • Rochester, NY 14624-2480

Specialties

  • Sports Physical Therapist (2251S0007X)
Full Record
NPI
1740719269
Entity Type
Individual
Last Name
Disanza
First Name
Marybeth
Credential
PT
Mailing Street Address
32 Ivy Bridge Way
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-2480
Mailing Country
US
Practice Street Address
3925 Sheridan Dr
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-1738
Practice Country
US
Practice Phone
(716) 250-6492
Enumeration Date
June 08, 2017
Last Updated
June 08, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Sports Physical Therapist (2251S0007X)