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Physical Therapist

NPI: 1255799359IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical TherapistPrimary

Physical Therapist

Code: 225100000X

039785(NY)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2015

Contact & Hours

Address
2760 DELAWARE AVE
KENMORE, NY 14217

Quick Facts

NPI
1255799359
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
11

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