Healthcare Provider Details

I. General information

NPI: 1760485130
Provider Name (Legal Business Name): JANET L HUFFMAN P.T.,D.P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 12/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 UNION RD
WEST SENECA NY
14224-4656
US

IV. Provider business mailing address

100 UNION RD
WEST SENECA NY
14224-4656
US

V. Phone/Fax

Practice location:
  • Phone: 716-675-4444
  • Fax: 716-675-4446
Mailing address:
  • Phone: 716-675-4444
  • Fax: 716-675-4446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number009104
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: