Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Oct 5, 2010
License(s)
006265 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 960 WEST MAPLE COURT | Elma, NY 14059 | 716-805-1440 |
| LOCATION | 960 WEST MAPLE COURT | Elma, NY 14059 | 716-805-1440 |
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