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NPI Code Detail

MEDICARE: AGAPE PHYSICAL THERAPY SERVICES, PC

MEDICARE: AGAPE PHYSICAL THERAPY SERVICES, PC
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 Therapist

General Provider Information

NPI Number : 1841200649
Entity Type Code : Organization
Provider Name (Legal Business Name) : AGAPE PHYSICAL THERAPY SERVICES, PC
Provider Business Mailing Address
First Line : 92 WEST AVE
Second Line :
City : BROCKPORT
State : NY
Zip : 14420-1306
Country : US
Telephone Number : 585-637-0790
Fax Number : 585-637-3572
Provider Business Practice Location Address
First Line : 92 WEST AVE
Second Line :
City : BROCKPORT
State : NY
Zip : 14420-1306
Country : US
Telephone Number : 585-637-0790
Fax Number : 585-637-3572
Authorized Official
Title or Position : BUSINESS MANAGER
Name : ADAM NOWAK
Credential :
Telephone Number : 585-637-0790
Provider Enumeration Date : 08/08/2006
Last Update Date : 08/07/2023

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