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Organization
FILLMORE PHYSICAL THERAPY LLC
Active
Organization
FILLMORE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN TUCKER (PRESIDENT/CEO)
(585) 567-2232
Entity
Organization
Contact information
Practice address
11039 DUGWAY RD, FILLMORE, NY 14735-8610
(585) 567-2232
(585) 567-2239
Mailing address
11039 DUGWAY RD, FILLMORE, NY 14735-8610
(585) 567-2232
(585) 567-2239
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
016210
NY
Other
Enumeration date
03/19/2008
Last updated
04/10/2013
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