DOUGLAS R HENNEBERG

ROCHESTER, NY
NPI1164096962
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: NY  001092)
Enumeration Date2021-05-17
Last Update Date2021-05-17
Business Address
DOUGLAS R HENNEBERG ATC
1000 E HENRIETTA RD
ROCHESTER, NY 14623-5701
Phone number: 585-292-2848
Mailing Address
DOUGLAS R HENNEBERG ATC
1000 E HENRIETTA RD
ROCHESTER, NY 14623-5701
Phone number: 585-292-2848