# 716 PHYSICAL THERAPY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770098634
- **Authorized official:** ANTHONY M BOERGERS DPT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (716) 560-3290

## Contact information

- **Practice address:** 4931 LAKE SHORE RD STE 300, HAMBURG, NY 14075-5662
- **Practice address phone:** (716) 560-3290
- **Mailing address:** 4591 SOUTHWESTERN BLVD APT FF4, HAMBURG, NY 14075-7706
- **Mailing address phone:** (716) 560-3290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 036600 | NY | Yes |

## Other

- **Enumeration date:** 12/13/2017
- **Last updated:** 12/13/2017