Organization
FREEDOM THERAPY, OCCUPATIONAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL L BURGE II PT (PRESIDENT)
(585) 720-9608
Entity
Organization
Contact information
Practice address
384 EAST AVE STE B, ROCHESTER, NY 14607-1909
(585) 720-9608
Mailing address
384 EAST AVE STE B, ROCHESTER, NY 14607-1909
(585) 720-9608
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
009537
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G0188595590
BLUE CHOICE
NY
Enumeration date
02/28/2007
Last updated
12/03/2007
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