MRS. Tracy Lee Disanto, PT

NPI #1659652535 in Lyons, New York

Provider Information

NPI Number: 1659652535
Entity Type: Individual
Name: MRS. Tracy Lee Disanto, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 6, 2011
Last Updated: Sep 6, 2011

Practice Location

Address: 98 WILLIAM ST
City: Lyons
State: New York
ZIP Code: 14489-1550
Phone: (315) 946-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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