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Individual

CLAY CASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2360 SWEET HOME RD, AMHERST, NY 14228-2329
(716) 525-1184
(716) 243-4721
Mailing address
6000 BROCKTON DR STE 107, LOCKPORT, NY 14094-9273

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
039294
NY

Other

Enumeration date
09/19/2015
Last updated
03/04/2020
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