Individual
BRIAN SPILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT DPT
Contact information
Practice address
4200 N BUFFALO RD, ORCHARD PARK, NY 14127-2415
(716) 539-2900
(716) 539-2901
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
043794
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05930878
—
NY
Enumeration date
05/31/2019
Last updated
03/21/2024
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