National Provider Identifier

Jack Duffy O'Brien, DPT

Jack Duffy O'Brien, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Angola, NY and a listed phone number of (716) 549-4454.

NPI 1144579939Angola, NYPhysical Therapist

Profile Overview

NPI
1144579939
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
September 07, 2012
Last Updated
September 07, 2012

Practice Location

  • 8685 Erie RD
  • Angola, NY 14006-9620

Phone: (716) 549-4454

Mailing Address

  • 72 W 4Th St
  • Dunkirk, NY 14048-2046

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1144579939
Entity Type
Individual
Last Name
O'Brien
First Name
Jack
Middle Name
Duffy
Credential
DPT
Mailing Street Address
72 W 4Th St
Mailing City
Dunkirk
Mailing State
NY
Mailing ZIP Code
14048-2046
Mailing Country
US
Mailing Phone
(716) 366-8948
Practice Street Address
8685 Erie RD
Practice City
Angola
Practice State
NY
Practice ZIP Code
14006-9620
Practice Country
US
Practice Phone
(716) 549-4454
Enumeration Date
September 07, 2012
Last Updated
September 07, 2012
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)