Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 031761 | NY |
NPI | 1508099987 |
---|---|
Provider Name | Stephanie Thornton Lempke |
First Address | Penfield, NY 14526-1750 |
Second Address | Penfield, NY 14526-1750 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2009 |
Last Update Date | 29/09/2014 |