Organization
SUMMERVILLE FITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA NICHOLE SUMMERVILLE P.T. (SOLE PROVIDER)
(716) 472-0652
Entity
Organization
Contact information
Practice address
1900 RIDGE RD STE 127, WEST SENECA, NY 14224-3332
(716) 677-2969
(716) 674-2969
Mailing address
25 WORTHINGTON LN, LANCASTER, NY 14086-9391
(716) 472-0652
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
015127-1
NY
Other
Enumeration date
04/01/2016
Last updated
06/04/2016
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