Individual
MICHAEL CHRISTOPHER NEELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5570 MAIN ST, WILLIAMSVILLE, NY 14221-5477
(716) 250-4137
Mailing address
5570 MAIN ST, WILLIAMSVILLE, NY 14221-5477
(716) 250-4137
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007467
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007467
NYS OFFICE OF PROFESSIONS LICENSING BUREAU
NY
Enumeration date
06/17/2015
Last updated
06/17/2015
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