Individual
VICTORIA STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 PARRISH ST, CANANDAIGUA, NY 14424-1731
(585) 396-6067
Mailing address
297 ROSEDALE ST APT 4, ROCHESTER, NY 14620-1602
(585) 362-9237
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010733-1
NY
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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