Individual
BRYAN PANKIW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
275 PARRISH ST STE A, CANANDAIGUA, NY 14424-1785
(585) 393-0554
(585) 393-0676
Mailing address
275 PARRISH ST STE A, CANANDAIGUA, NY 14424-1785
(585) 393-0554
(585) 393-0676
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8754266
NY
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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