Healthcare Provider Details

I. General information

NPI: 1588637318
Provider Name (Legal Business Name): OLEAN PHYSICAL THERAPY PROFESSIONALS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 05/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3132 NYS ROUTE 417
OLEAN NY
14760-1835
US

IV. Provider business mailing address

3132 NYS ROUTE 417
OLEAN NY
14760-1835
US

V. Phone/Fax

Practice location:
  • Phone: 716-372-6787
  • Fax: 716-372-3747
Mailing address:
  • Phone: 716-372-6787
  • Fax: 716-372-3747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. MICHAEL JOSEPH DRONEY
Title or Position: OWNER PHYSICAL THERAPIST
Credential: MS MPT MTC
Phone: 716-372-6787