Organization
SPROUT PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIETTA JOANNE PHILLIPS (PHYSICAL THERAPY)
(585) 290-1490
Entity
Organization
Contact information
Practice address
2775 BUFFALO RD, ROCHESTER, NY 14624-1372
(585) 290-1490
Mailing address
45 TELLIDORA TRL, SPENCERPORT, NY 14559-9404
(585) 489-9775
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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