Individual
JENNIFER ANN BEIDECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
41 COLEBROOK DR, ROCHESTER, NY 14617-2211
(585) 467-4567
Mailing address
41 COLEBROOK DR, ROCHESTER, NY 14617-2211
(585) 467-4567
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003691-1
NY
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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