National Provider Identifier
Frederick Lacaste Tabliago, MPT
Frederick Lacaste Tabliago, MPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Tonawanda, NY and a listed phone number of (716) 541-9102.
Profile Overview
- NPI
- 1154556207
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 19, 2009
- Last Updated
- May 19, 2009
Practice Location
- 259 Grimsby RD
- Tonawanda, NY 14223
Phone: (716) 541-9102
Mailing Address
- 259 Grimsby RD
- Tonawanda, NY 14223-1920
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1154556207
- Entity Type
- Individual
- Last Name
- Tabliago
- First Name
- Frederick
- Middle Name
- Lacaste
- Name Prefix
- Mr.
- Credential
- MPT
- Mailing Street Address
- 259 Grimsby RD
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14223-1920
- Mailing Country
- US
- Mailing Phone
- (716) 870-6325
- Practice Street Address
- 259 Grimsby RD
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14223
- Practice Country
- US
- Practice Phone
- (716) 541-9102
- Enumeration Date
- May 19, 2009
- Last Updated
- May 19, 2009
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)