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Keith Charles Fraas, PT
Specialist in Lackawanna, New York
NPI 1841478104

Keith Charles Fraas is a Specialist based in Lancaster, NY. Keith Charles Fraas practices in Lackawanna, NY and has the professional credentials of PT. The NPI Number for Keith Charles Fraas is 1841478104 and holds a License No. 020731-1 (New York).

The current practice location address for Keith Charles Fraas is 1025 Ridge Rd, Lackawanna, NY and can be reached out via phone at 716-822-4781 and via fax at 716-825-5765.

Location: 1025 Ridge Rd, Lackawanna, NY, 14086-9386
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841478104
Provider Name
Keith Charles Fraas
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
1025 Ridge Rd, Lackawanna, NY, 14086-9386
Phone Number
716-822-4781
Fax Number
716-825-5765
Provider Enumeration Date
02/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1025 Ridge Rd
City
Lackawanna
State
New York
Zip
14218-1755
Phone Number
716-822-4781
Fax Number
716-825-5765
person
Provider Business Mailing Address Details
Address
1025 Ridge Rd
City
Lackawanna
State
New York
Zip
14218-1755
Phone Number
716-822-4781
Fax Number
716-825-5765
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
020731-1 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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