National Provider Identifier

Andrea Joan Hurtgam, PTA

Andrea Joan Hurtgam, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Kenmore, NY and a listed phone number of (716) 874-6175.

NPI 1962780585Kenmore, NYPhysical Therapy Assistant

Profile Overview

NPI
1962780585
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
July 31, 2011
Last Updated
August 13, 2015

Practice Location

  • 3767 Delaware Ave
  • Kenmore, NY 14217-1040

Phone: (716) 874-6175

Mailing Address

  • 6928 Walmore RD
  • Niagara Falls, NY 14304-3047

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1962780585
Entity Type
Individual
Last Name
Hurtgam
First Name
Andrea
Middle Name
Joan
Name Prefix
Miss
Credential
PTA
Mailing Street Address
6928 Walmore RD
Mailing City
Niagara Falls
Mailing State
NY
Mailing ZIP Code
14304-3047
Mailing Country
US
Mailing Phone
(716) 731-1109
Practice Street Address
3767 Delaware Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1040
Practice Country
US
Practice Phone
(716) 874-6175
Enumeration Date
July 31, 2011
Last Updated
August 13, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)
Other Identifiers
01465154 (NY)