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Organization
RENOVATIO PHYSICAL THERAPY, P.C.
Active
Organization
RENOVATIO PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILSON I. LEBITA P.T. (CHIEF PHYSICAL THERAPIST)
(716) 882-6000
Entity
Organization
Contact information
Practice address
191 NORTH ST, SUITE 206, BUFFALO, NY 14201-1510
(716) 882-6000
Mailing address
191 NORTH ST, SUITE 206, BUFFALO, NY 14201-1510
(716) 882-6000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022496
NY
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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