Organization
SPORTS PLUS PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH D TRAVIS PT (VICE PRESIDENT)
(585) 343-9496
Entity
Organization
Contact information
Practice address
8276 PARK ROAD, BATAVIA, NY 14020
(585) 343-9496
(585) 343-9497
Mailing address
8276 PARK ROAD, BATAVIA, NY 14020
(585) 343-9496
(585) 343-9497
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011193601
UNIVERA
—
01
—
103111FT
PREFERRED CARE
—
Enumeration date
05/13/2006
Last updated
08/22/2020
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