Provider Demographics
NPI:1780824805
Name:FIELDSTONE PHYSICAL THERAPY L.L.P.
Entity Type:Organization
Organization Name:FIELDSTONE PHYSICAL THERAPY L.L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:M
Authorized Official - Last Name:FRANCKOWIAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-901-2787
Mailing Address - Street 1:483 PARK PL
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:14072-3524
Mailing Address - Country:US
Mailing Address - Phone:716-901-2787
Mailing Address - Fax:
Practice Address - Street 1:483 PARK PL
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NY
Practice Address - Zip Code:14072-3524
Practice Address - Country:US
Practice Address - Phone:716-901-2787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-02
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018583251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health