Individual
JUSTIN ERTEL-REDFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8600 MAIN ST, SUITE 2, WILLIAMSVILLE, NY 14221-7464
(716) 616-9000
(716) 408-3222
Mailing address
8600 MAIN ST., SUITE 2, WILLIAMSVILLE, NY 14221
(716) 616-9000
(716) 408-3222
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
028258-1
NY
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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