Individual
COLE AND BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3905 BOWEN RD APT 46, LANCASTER, NY 14086-9675
(716) 200-8846
Mailing address
3905 BOWEN RD APT 46, LANCASTER, NY 14086-9675
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
010512
NY
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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