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NPI Code Detail

MEDICARE: MR. BRIAN DANIEL WESTLAKE P.T.

MEDICARE:  MR. BRIAN DANIEL WESTLAKE  P.T.
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 Therapist021581-1NY

General Provider Information

NPI Number : 1801842109
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRIAN DANIEL WESTLAKE P.T.
Provider Business Mailing Address
First Line : 3153 COUNTY ROAD 40
Second Line :
City : BLOOMFIELD
State : NY
Zip : 14469-9363
Country : US
Telephone Number : 585-301-2303
Fax Number : 585-851-8671
Provider Business Practice Location Address
First Line : 3153 COUNTY ROAD 40
Second Line :
City : BLOOMFIELD
State : NY
Zip : 14469-9363
Country : US
Telephone Number : 585-301-2303
Fax Number : 585-851-8671
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2006
Last Update Date : 11/18/2025

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Directions to “ MR. BRIAN DANIEL WESTLAKE P.T.” Practice Location

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