Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GRAHAM R WIDRICK, PT
Active Sole ProprietorMR. GRAHAM R WIDRICK, PT is a Physical Therapy Assistant healthcare provider located in FAIRPORT, New York. NPI 1821079427 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FAIRPORT, NY
Registration Details
- NPI Number
- 1821079427
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 10, 2005 (20.578768899187 yrs)
- Last Updated
- Sep 17, 2009
- License
-
62 028214 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
44 GENTIAN WAYFAIRPORT, NY, 144509212Browse NY providers · Browse ZIP 14450
- Phone
- 5858809553
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FAIRPORT, NY
| Name | Credential | NPI |
|---|---|---|
| MATTHEW STOUTENBURG | P.T. | 1750373783 |
| CHARITY L PEMBROKE | P.T. | 1215929252 |
| REBECCA A ADRID | MPT | 1205840717 |
| MR. TODD DOUGLAS WENDL | PT | 1700947587 |
| ANN ELIZABETH ERNST | MS, PT | 1124163274 |
| KRISTIE LYNN KARELUS | P.T. | 1093850158 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.