National Provider Identifier

Lauren Marie Destro, DPT

Lauren Marie Destro, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in West Seneca, NY and a listed phone number of (716) 656-8600.

NPI 1780415869West Seneca, NYPhysical Therapist

Profile Overview

NPI
1780415869
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
August 12, 2024
Last Updated
August 12, 2024

Practice Location

  • 2100 Union RD
  • West Seneca, NY 14224-1400

Phone: (716) 656-8600

Mailing Address

  • 3351 Angle RD
  • Orchard Park, NY 14127-1442

Specialties

  • Physical Therapist (225100000X)
  • Orthopedic Physical Therapist (2251X0800X)
Full Record
NPI
1780415869
Entity Type
Individual
Last Name
Destro
First Name
Lauren
Middle Name
Marie
Credential
DPT
Mailing Street Address
3351 Angle RD
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-1442
Mailing Country
US
Mailing Phone
(716) 534-6703
Practice Street Address
2100 Union RD
Practice City
West Seneca
Practice State
NY
Practice ZIP Code
14224-1400
Practice Country
US
Practice Phone
(716) 656-8600
Enumeration Date
August 12, 2024
Last Updated
August 12, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
August 11, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X), Orthopedic Physical Therapist (2251X0800X)