Organization
PRESCRIBED MOTION PHYSICAL THERAPY EXERCISE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BEVILACQUA DPT (OWNER)
(315) 292-3322
Entity
Organization
Contact information
Practice address
5501 MAIN ST, WILLIAMSVILLE, NY 14221-6763
(315) 292-3322
Mailing address
81 ROYCROFT BLVD, BUFFALO, NY 14226-4528
(315) 292-3322
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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