Organization
716 PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY M BOERGERS DPT (OWNER/PHYSICAL THERAPIST)
(716) 560-3290
Entity
Organization
Contact information
Practice address
4931 LAKE SHORE RD STE 300, HAMBURG, NY 14075-5662
(716) 560-3290
Mailing address
4591 SOUTHWESTERN BLVD APT FF4, HAMBURG, NY 14075-7706
(716) 560-3290
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036600
NY
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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