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Organization
KAISER PHYSICAL THERAPY PC
Active
Organization
KAISER PHYSICAL THERAPY PC
Active
Other names
The Source for Health & Well Living
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH ALAN KAISER DC PT (OWNER AND PRESIDENT)
(716) 652-1803
Entity
Organization
Contact information
Practice address
121 ELM ST, EAST AURORA, NY 14052-2535
(716) 652-1803
(716) 652-1951
Mailing address
121 ELM ST, EAST AURORA, NY 14052-2535
(716) 652-1803
(716) 652-1951
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6160
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020087901
UNIV
NY
01
—
002084681
BCBS
NY
01
—
006084683
BCBS
NY
01
—
9303777
IA
NY
01
—
AA1030
MEDICARE ID- TYPE UNSPECIFIED
NY
Enumeration date
01/17/2006
Last updated
03/03/2009
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