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Organization
PEDIATRIC PHYSICAL THERAPY SERVICES, PLLC
Active
Organization
PEDIATRIC PHYSICAL THERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIA L. STAMPE P.T. (OWNER)
(585) 427-7610
Entity
Organization
Contact information
Practice address
3255 BRIGHTON HENRIETTA TOWN LINE RD, SUITE 102, ROCHESTER, NY 14623-2806
(585) 427-7610
(585) 427-7410
Mailing address
3255 BRIGHTON HENRIETTA TOWN LINE RD, SUITE 102, ROCHESTER, NY 14623-2806
(585) 427-7610
(585) 427-7410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60002
BLUE CROSS BLUE SHIELD
—
01
—
G0189088590
BLUE CHOICE
—
Enumeration date
02/13/2007
Last updated
10/02/2008
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