Organization
STAR PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCIA SPOTO PT, DC, OCS (DIRECTOR)
(585) 425-1018
Entity
Organization
Contact information
Practice address
790 AYRAULT ROAD, FAIRPORT, NY 14450
(585) 425-1018
(585) 425-8955
Mailing address
790 AYRAULT ROAD, FAIRPORT, NY 14450
(585) 425-1018
(585) 425-8955
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103116FT
PREFILLED CARE
NY
01
—
G0187891590
BLUE CHOICE
NY
Enumeration date
01/26/2007
Last updated
03/05/2013
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