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Organization

GLOVER PHYSICAL THERAPY, PLLC

Active
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Organization

GLOVER PHYSICAL THERAPY, PLLC

Active
Other names
Glover Physical Therapy and Pain Rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN K GLOVER PT (PHYSICAL THERAPIST/OWNER)
(716) 446-9500
Entity
Organization

Contact information

Practice address
3620 HARLEM ROAD, SUITE 2, CHEEKTOWAGA, NY 14215-2042
(716) 446-9500
(716) 446-9501
Mailing address
3620 HARLEM ROAD, SUITE 2, CHEEKTOWAGA, NY 14215-2042
(716) 446-9500
(716) 446-9501

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022612
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000626742002
BLUE CROSS BLUE SHIELD
NY
05
02167366
NY
01
BA0242
CORPORATE PROVIDER ID
NY
Enumeration date
02/04/2008
Last updated
12/10/2024
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