Individual
WILLARD NICHOLAS SIMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 N SHORE RD, CUBA, NY 14727-9227
(585) 610-6996
Mailing address
355 N SHORE RD, CUBA, NY 14727-9227
(585) 610-6996
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
NY
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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