Individual
CHAD G CONDIDORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4901 LAC DE VILLE BLVD, ROCHESTER, NY 14618-5647
(585) 341-9149
Mailing address
4901 LAC DE VILLE BLVD, ROCHESTER, NY 14618-5647
(585) 341-9149
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
037253
NY
2251S0007X
Sports Physical Therapist
37253
NY
Other
Enumeration date
11/26/2019
Last updated
07/03/2023
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