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1194771345
GRADY T SLACK
ROCHESTER, NY
NPI
1194771345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 16909)
Enumeration Date
2006-05-26
Last Update Date
2007-07-08
Business Address
Mr. GRADY T SLACK DPT
1 WHIPPLE LANE
ROCHESTER, NY 14622
Phone number: 585-338-3070
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Mailing Address
Mr. GRADY T SLACK DPT
480 GRANGER CIRCLE
WEBSTER, NY 14580
Phone number: 585-787-0057
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