Provider Demographics
NPI:1356782189
Name:FERGER, AMY LYNN (DPT)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:FERGER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9052 SANDROCK RD
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:NY
Mailing Address - Zip Code:14057-9526
Mailing Address - Country:US
Mailing Address - Phone:716-570-7506
Mailing Address - Fax:
Practice Address - Street 1:5120 ORCHARD AVE
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-5657
Practice Address - Country:US
Practice Address - Phone:716-926-1711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-09
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2967225100000X
NY036803-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist