Organization
PHYSICAL THERAPY SERVICES OF NIAGARA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE REED (PRESIDENT/CEO)
(716) 523-1383
Entity
Organization
Contact information
Practice address
3341 SUMMERSET CT, N TONAWANDA, NY 14120-1277
(716) 523-1383
(716) 693-5464
Mailing address
3341 SUMMERSET CT, N TONAWANDA, NY 14120-1277
(716) 523-1383
(716) 693-5464
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
016258-1
NY
252Y00000X
Early Intervention Provider Agency
Primary
016258-1
NY
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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