Individual
MS. KALI JEANNE LARUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
790 AYRAULT ROAD, STAR PHYSICAL THERAPY, FAIRPORT, NY 14450
(585) 425-1018
(585) 425-8955
Mailing address
790 AYRAULT RD, FAIRPORT, NY 14450-8981
(585) 425-1018
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
P57826
NY
Other
Enumeration date
07/06/2007
Last updated
04/17/2018
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