Kristin Marie Provo, PT, DPT

NPI #1275849895 in Mount Morris, New York

Provider Information

NPI Number
1275849895
Entity Type
Individual
Name
Kristin Marie Provo, PT, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT, DPT
Enumeration Date
Aug 19, 2010
Last Updated
Dec 22, 2023

Practice Location

Address
KIDSTART
Address 2
5871 GROVELAND STATION RD
ZIP Code
14510-9767
Phone
(585) 658-4023

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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