Organization
AWAKEN PERFORMANCE REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY MATTHEW LOWE PT, DPT, CERT. MDT (OWNER/PHYSICAL THERAPIST)
(716) 270-3267
Entity
Organization
Contact information
Practice address
4476 MAIN ST STE 110, AMHERST, NY 14226-4463
(716) 246-4806
(716) 303-7014
Mailing address
177 STONERIDGE CT, EAST AURORA, NY 14052-2039
(716) 270-3267
(716) 303-7014
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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