Individual
SONDRA JEAN RUTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-4254
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-4254
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004533-01
NY
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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