Organization · NPI-2
Betancourt Chiropractic And Swanson Physical Therapy PLLC
Chiropractor · Orchard Park, NY
NPI number1063124295
StatusActive
Last updated in NPPESDec 19, 2022
Details
- NPI
- 1063124295
- Entity type
- Organization (NPI-2)
- Legal business name
- Betancourt Chiropractic And Swanson Physical Therapy PLLC
- Organization subpart
- No
- Enumeration date
- Dec 19, 2022
- Certification date
- Dec 19, 2022
- Last updated
- Dec 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
| 225100000X | Physical Therapist | – | – | |
| 225700000X | Massage Therapist | – | – |
Practice location
3670 S Benzing Rd Ste LOrchard Park, NY 14127-1741
Phone 716-667-2653
Mailing address
3670 S Benzing Rd Ste LOrchard Park, NY 14127-1741
Phone 716-667-2653
Authorized official
Elizabeth Betancourt
Owner
7166672653
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