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NPI Code Detail

MEDICARE: CHRISTOPHER KENDALL PT,DPT

MEDICARE:   CHRISTOPHER  KENDALL  PT,DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist0421571NY

General Provider Information

NPI Number : 1508375999
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER KENDALL PT,DPT
Provider Business Mailing Address
First Line : 68 BASSWOOD DR
Second Line :
City : CHEEKTOWAGA
State : NY
Zip : 14227-2609
Country : US
Telephone Number : 716-444-2362
Fax Number :
Provider Business Practice Location Address
First Line : 2850 GRAND ISLAND BLVD
Second Line :
City : GRAND ISLAND
State : NY
Zip : 14072-1251
Country : US
Telephone Number : 716-773-5900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2017
Last Update Date : 01/18/2022

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Directions to “ CHRISTOPHER KENDALL PT,DPT” Practice Location

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