Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 0213671 | NY |
NPI | 1063587392 |
---|---|
Provider Name | Mrs. Allison Beth Kling Simonian |
First Address | Fairport, NY 14450 |
Second Address | Fairport, NY 14450 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7344272 | AETNA (01) | NY |
H0482FT | PREFERRED CARE (01) | NY |