| Rebecca Diane Bradford, | |
|
2963 Sheridan Dr, Tonawanda, NY 14150-9418 | |
| (716) 245-6326 | |
| Not Available |
| Full Name | Rebecca Diane Bradford |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2963 Sheridan Dr, Tonawanda, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669281176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 053742 (New York) | Primary |
| 225100000X | Physical Therapist | 070.028805 (Illinois) | Secondary |
| Provider Name | Buffalo Rehab Group Physical Therapy And Occupational Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1548290943 PECOS PAC ID: 1355232596 Enrollment ID: O20040324001331 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Diane Bradford, 2673 Dodge Rd, East Amherst, NY 14051-1340 Ph: () - | Rebecca Diane Bradford, 2963 Sheridan Dr, Tonawanda, NY 14150-9418 Ph: (716) 245-6326 |
Steven Gonser, PT DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 350 Greenhaven Ter, Tonawanda, NY 14150 Phone: 716-213-0772 Fax: 716-213-0773 | |
Ms. Lisa Vargovich Martin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2540 Sheridan Dr, Tonawanda, NY 14150 Phone: 716-862-0567 Fax: 716-862-0571 | |
Jodi Ridler, PT DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 350 Greenhaven Ter, Tonawanda, NY 14150 Phone: 716-213-0772 Fax: 716-213-0773 | |
Allyson Raines, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2540 Sheridan Dr, Tonawanda, NY 14150 Phone: 716-862-0567 Fax: 716-862-0571 | |
Dr. Michelle Alida Nitsche, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 69 Harriet St, Tonawanda, NY 14150 Phone: 716-517-5564 | |
Mr. Frederick Lacaste Tabliago, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 259 Grimsby Rd, Tonawanda, NY 14223 Phone: 716-541-9102 | |
Thomas Maving, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2540 Sheridan Dr, Tonawanda, NY 14150 Phone: 716-862-0567 Fax: 716-862-0571 |