Individual
JACOB TYLER DAMCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
189 EAST MAIN STREET, WESTFIELD, NY 14787
(716) 793-2231
Mailing address
9712 NE SHERMAN RD, RIPLEY, NY 14775
(716) 499-0228
(716) 793-2257
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
042593-1
NY
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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