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Mr. Russell A Certo, PTOCS
Orthopedic Physical Therapist in Grand Island, New York
NPI 1275502742

Russell A Certo is a Orthopedic Physical Therapist based in Grand Island, NY and is specialized in Orthopedic. Russell A Certo practices in Grand Island, NY and has the professional credentials of PTOCS. The NPI Number for Russell A Certo is 1275502742 and holds a License No. 0100021 (New York).

The current practice location address for Russell A Certo is 1801 Grand Island Blvd, Grand Island, NY and can be reached out via phone at 716-773-4323 and via fax at 716-773-9418.

Location: 1801 Grand Island Blvd, Grand Island, NY, 14072
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275502742
Provider Name
Russell A Certo
Credential
PTOCS
Provider Entity Type
Individual
Gender
Male
Address
1801 Grand Island Blvd, Grand Island, NY, 14072
Phone Number
716-773-4323
Fax Number
716-773-9418
Provider Enumeration Date
03/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000606777004 01 BLUE CROSS BLUE SHIELD
9352188 01 INDEPENDENT HEALTH
000606777005 01 DME
institution
Provider Business Practice Location Address Details
Address
1801 Grand Island Blvd
City
Grand Island
State
New York
Zip
14072
Phone Number
716-773-4323
Fax Number
716-773-9418
person
Provider Business Mailing Address Details
Address
1801 Grand Island Blvd
City
Grand Island
State
New York
Zip
14072
Phone Number
716-773-4323
Fax Number
716-773-9418
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
0100021 (New York)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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