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Organization
LANCASTER DEPEW CHEEKTOWAGA PHYSICAL THERAPY,PC
Active
Organization
LANCASTER DEPEW CHEEKTOWAGA PHYSICAL THERAPY,PC
Active
Other names
elma marilla physical therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DOUGLAS TRAVIS PT (OWNER)
(716) 651-0100
Entity
Organization
Contact information
Practice address
3260 WALDEN AVE, SUITE 100, DEPEW, NY 14043-2842
(716) 651-0100
(716) 651-0151
Mailing address
3260 WALDEN AVE, SUITE 100, DEPEW, NY 14043-2842
(716) 651-0100
(716) 651-0151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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