Organization
ADVANTAGE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BLAS PT (OWNER)
(716) 433-3368
Entity
Organization
Contact information
Practice address
5556 DAVISON ROAD, LOCKPORT, NY 14094
(716) 433-3368
(716) 433-2086
Mailing address
5556 DAVISON ROAD, LOCKPORT, NY 14094
(716) 433-3368
(716) 433-2086
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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