Organization
HOUSE CALL PHYSICAL THERAPY OF ROCHESTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH SHANE CORRIEA PT (PRESIDENT/PHYSICAL THERAPIST)
(585) 851-1771
Entity
Organization
Contact information
Practice address
53 WESTMAR DR, ROCHESTER, NY 14624-2535
(585) 851-1771
(585) 672-9030
Mailing address
53 WESTMAR DR, ROCHESTER, NY 14624-2535
(585) 851-1771
(585) 672-9030
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
022430
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558574079
INDIVIDUAL NPI
NY
Enumeration date
08/23/2016
Last updated
12/02/2016
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