| Organization Name: | ANGOLA PHYSICAL THERAPY PC |
| NPI Number: | 1326208315 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SEAN KEVIN MCGARRITY (PRESIDENT) |
| Mailing Address: | 8505 Erie Rd. Angola |
| State: | NY US |
| Postal Code: | 140069703 |
| Phone Number: | 7165491099 |
| Fax Number: | 7165492293 |
| NPI Enumeration Date: | 06/12/2008 |
| NPI Last Update Date: | 09/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 010200-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |