Organization
ON-CALL PHYSICAL THERAPIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH M ANGELLO PT, DPT (OWNER)
(585) 734-4105
Entity
Organization
Contact information
Practice address
205 CRYSTAL CREEK DR, ROCHESTER, NY 14612-6002
(585) 734-4105
Mailing address
205 CRYSTAL CREEK DR, ROCHESTER, NY 14612-6002
(585) 734-4105
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2020
Last updated
11/16/2020
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