Most Relevant Information
Provider Data
| NPI Number: | 1003464801 |
| Provider Name: | KAITLYN MICHELE COONEY |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 044608 |
Most Important Dates
| Enumeration Date: | 08/27/2019 |
| Last Updated: | 08/27/2019 |
Provider Practice Location
191 N MAIN ST
WELLSVILLE
NY
148951150
Practice Location Phone/Fax
| Phone: | 5855964011 |
| Fax: |
Provider Mailing Location
2218 JOHNSON RD
OLEAN
NY
147609701
Provider Mailing Phone/Fax
| Phone: | 7167901245 |
| Fax: |