National Provider Identifier
Marie Ticen, MSPT
Marie Ticen, MSPT is listed in the NPPES registry with a primary specialty of Pediatric Physical Therapist in Buffalo, NY and a listed phone number of (716) 878-7470.
Profile Overview
- NPI
- 1902055122
- Provider Type
- Individual
- Primary Specialty
- Pediatric Physical Therapist
- Enumeration Date
- September 11, 2008
- Last Updated
- September 11, 2008
Practice Location
- 219 Bryant St
- Buffalo, NY 14222-2006
Phone: (716) 878-7470
Specialties
- Pediatric Physical Therapist (2251P0200X)
Full Record
- NPI
- 1902055122
- Entity Type
- Individual
- Last Name
- Ticen
- First Name
- Marie
- Name Prefix
- Mrs.
- Credential
- MSPT
- Provider Other Last Name
- Johnson
- Provider Other First Name
- Marie
- Provider Other Credential Text
- MSPT
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 219 Bryant St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14222-2006
- Mailing Country
- US
- Mailing Phone
- (716) 878-7470
- Practice Street Address
- 219 Bryant St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14222-2006
- Practice Country
- US
- Practice Phone
- (716) 878-7470
- Practice Fax
- (716) 878-1157
- Enumeration Date
- September 11, 2008
- Last Updated
- September 11, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Physical Therapist (2251P0200X)