Individual
BYRON WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
91 ERIE CANAL DR STE E, ROCHESTER, NY 14626-4603
(585) 910-2242
(585) 869-5142
Mailing address
289 INGLEWOOD DR, ROCHESTER, NY 14619-1439
(585) 831-8377
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
052353
NY
Other
Enumeration date
05/10/2024
Last updated
02/04/2025
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