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BRIAN CIPOLLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(716) 310-1453
Mailing address
426 CONNECTICUT ST, BUFFALO, NY 14213-2642
(716) 310-1453

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
029523
NY
225100000X
Physical Therapist
Primary
PT24682
FL
225700000X
Massage Therapist
017516
NY

Other

Enumeration date
04/25/2008
Last updated
08/31/2009
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