Provider Demographics
NPI:1780220756
Name:ZIEGLER, CLARENCE JAMES III (MS PT)
Entity Type:Individual
Prefix:MR
First Name:CLARENCE
Middle Name:JAMES
Last Name:ZIEGLER
Suffix:III
Gender:M
Credentials:MS PT
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Mailing Address - Street 1:27 HELMSFORD WAY
Mailing Address - Street 2:
Mailing Address - City:PENFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14526-1971
Mailing Address - Country:US
Mailing Address - Phone:585-747-7662
Mailing Address - Fax:
Practice Address - Street 1:2021 WINTON RD S
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3957
Practice Address - Country:US
Practice Address - Phone:585-784-6530
Practice Address - Fax:585-341-2430
Is Sole Proprietor?:No
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY024298225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist