National Provider Identifier

William Anderson

William Anderson is listed in the NPPES registry with a primary specialty of Pediatric Physical Therapist in Kenmore, NY and a listed phone number of (716) 874-6175.

NPI 1164387460Kenmore, NYPediatric Physical Therapist

Profile Overview

NPI
1164387460
Provider Type
Individual
Primary Specialty
Pediatric Physical Therapist
Enumeration Date
December 18, 2025
Last Updated
December 18, 2025

Practice Location

  • 3767 Delaware Ave
  • Kenmore, NY 14217-1040

Phone: (716) 874-6175

Specialties

  • Pediatric Physical Therapist (2251P0200X)
Full Record
NPI
1164387460
Entity Type
Individual
Last Name
Anderson
First Name
William
Mailing Street Address
3767 Delaware Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-1040
Mailing Country
US
Practice Street Address
3767 Delaware Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1040
Practice Country
US
Practice Phone
(716) 874-6175
Enumeration Date
December 18, 2025
Last Updated
December 18, 2025
Sex
X
Sole Proprietor
No
Certification Date
December 18, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Physical Therapist (2251P0200X)