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Organization
FREDONIA PHYSICAL THERAPY, PLLC
Active
Organization
FREDONIA PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL A VINCEK PT (OWNER)
(716) 679-7447
Entity
Organization
Contact information
Practice address
12 BRIGHAM RD, FREDONIA, NY 14063-1000
(716) 679-7447
(716) 679-7446
Mailing address
12 BRIGHAM RD, FREDONIA, NY 14063-1000
(716) 679-7447
(716) 679-7446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01365-01
NY
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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