Jac Samuel Dorris

NPI #1407535693 in Lewiston, New York

Provider Information

NPI Number: 1407535693
Entity Type: Individual
Name: Jac Samuel Dorris
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jul 14, 2023
Last Updated: Jul 14, 2023

Practice Location

Address: 5828 LEWISTON ROAD
City: Lewiston
State: New York
ZIP Code: 14092
Phone: (716) 298-2900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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