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Individual

ANTHONY BOERGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4591 SOUTHWESTERN BLVD APT FF4, HAMBURG, NY 14075-7706
(716) 560-3290
Mailing address
4591 SOUTHWESTERN BLVD APT FF4, HAMBURG, NY 14075-7706

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
036600
NY
225100000X
Physical Therapist
Primary
11218
AZ
225100000X
Physical Therapist
1250571
TX

Other

Enumeration date
11/17/2014
Last updated
11/17/2014
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