Lisa Christine Petty, PT, DPT

NPI #1841718632 in Kenmore, New York

Provider Information

NPI Number: 1841718632
Entity Type: Individual
Name: Lisa Christine Petty, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Sep 1, 2017
Last Updated: Sep 1, 2017

Practice Location

Address: 3767 DELAWARE AVE
City: Kenmore
State: New York
ZIP Code: 14217-1040
Phone: (716) 874-6175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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