Individual
MR. WILLIE ABBOTT DANTZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST A
Contact information
Practice address
150 STAHL RD, SUMMIT EDUCATIONAL RESOURCES, GETZVILLE, NY 14068
(716) 629-3400
Mailing address
107 ACADEMY RD, BUFFALO, NY 14211
(716) 893-4061
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0055361
NY
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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