Provider Demographics
NPI:1609350339
Name:LANDINO, AIMEE E (PT, DPT)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:E
Last Name:LANDINO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 MEDTECH PARK
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020
Mailing Address - Country:US
Mailing Address - Phone:585-201-7080
Mailing Address - Fax:585-201-7087
Practice Address - Street 1:99 MEDTECH PARK
Practice Address - Street 2:SUITE 104
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020
Practice Address - Country:US
Practice Address - Phone:585-201-7080
Practice Address - Fax:585-201-7087
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044264225100000X
VT040.0134017225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist