Provider Demographics
NPI:1548419765
Name:FRANCE, AMY PATRICIA (PT)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:PATRICIA
Last Name:FRANCE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 BRYANT ST
Mailing Address - Street 2:PHYSICAL THERAPY DEPARTMENT
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222-2006
Mailing Address - Country:US
Mailing Address - Phone:716-878-7470
Mailing Address - Fax:716-878-1157
Practice Address - Street 1:219 BRYANT ST
Practice Address - Street 2:PHYSICAL THERAPY DEPARTMENT
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222-2006
Practice Address - Country:US
Practice Address - Phone:716-878-7470
Practice Address - Fax:716-878-1157
Is Sole Proprietor?:No
Enumeration Date:2008-09-11
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY05391-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics