Provider Demographics
NPI:1982170395
Name:JAMESTOWN REHAB SERVICE PT, OT, SLP, PLLC.
Entity Type:Organization
Organization Name:JAMESTOWN REHAB SERVICE PT, OT, SLP, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:D
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:716-474-6285
Mailing Address - Street 1:4482 KATHALEEN ST
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-1111
Mailing Address - Country:US
Mailing Address - Phone:716-474-6285
Mailing Address - Fax:716-648-8663
Practice Address - Street 1:4482 KATHALEEN ST
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-1111
Practice Address - Country:US
Practice Address - Phone:716-474-6285
Practice Address - Fax:716-648-8663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty