Individual
MICHELLE JEAN MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
703 E MAPLE AVE, NEWARK, NY 14513-1845
(315) 331-1700
Mailing address
3220 MIDDLE CHESHIRE RD, CANANDAIGUA, NY 14424-2470
(585) 394-5070
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008706-1
NY
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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