Provider Demographics
NPI:1144849670
Name:DUCHSCHERER PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:DUCHSCHERER PHYSICAL THERAPY, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWENER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUCHSCHERER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-579-0724
Mailing Address - Street 1:4 CENTRE DR STE G
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-4117
Mailing Address - Country:US
Mailing Address - Phone:716-579-0724
Mailing Address - Fax:716-304-1447
Practice Address - Street 1:4 CENTRE DR STE G
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-4117
Practice Address - Country:US
Practice Address - Phone:716-579-0724
Practice Address - Fax:716-304-1447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-14
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty