National Provider Identifier

Willie Abbott Dantzler, PHYSICAL THERAPIST A

Willie Abbott Dantzler, PHYSICAL THERAPIST A is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Getzville, NY and a listed phone number of (716) 629-3400.

NPI 1700917903Getzville, NYPhysical Therapy Assistant

Profile Overview

NPI
1700917903
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
March 08, 2007
Last Updated
July 08, 2007

Practice Location

  • 150 Stahl RD
  • Summit Educational Resources
  • Getzville, NY 14068

Phone: (716) 629-3400

Mailing Address

  • 107 Academy RD
  • Buffalo, NY 14211

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1700917903
Entity Type
Individual
Last Name
Dantzler
First Name
Willie
Middle Name
Abbott
Name Prefix
Mr.
Credential
PHYSICAL THERAPIST A
Mailing Street Address
107 Academy RD
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14211
Mailing Country
US
Mailing Phone
(716) 893-4061
Practice Street Address
150 Stahl RD
Practice Address Line 2
Summit Educational Resources
Practice City
Getzville
Practice State
NY
Practice ZIP Code
14068
Practice Country
US
Practice Phone
(716) 629-3400
Enumeration Date
March 08, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)