Organization
HAND & REHABILITATION SPECIALISTS OT PT SLP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY D GIBSON MS OTR CHT (MANAGER)
(716) 631-5224
Entity
Organization
Contact information
Practice address
5144 SHERIDAN DR STE 2, WILLIAMSVILLE, NY 14221-4653
(716) 631-5224
(716) 631-5626
Mailing address
5144 SHERIDAN DR STE 2, WILLIAMSVILLE, NY 14221-4653
(716) 631-5224
(716) 631-5626
Taxonomy
Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
79151
NY
225XH1200X
Hand Occupational Therapist
Primary
0120921
NY
235Z00000X
Speech-Language Pathologist
013248
NY
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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