Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 041483-1 | NY |
N | 2251N0400X | Physical Therapist - Neurology | 40QA01251700 | NJ |
NPI | 1396181756 |
---|---|
Provider Name | Mr. Richard Joseph Klager |
First Address | Kenmore, NY 14217-2309 |
Second Address | Kenmore, NY 14217-2309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2013 |
Last Update Date | 17/03/2018 |