Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 035285-1 | NY |
NPI | 1588202642 |
---|---|
Provider Name | Melanie Cottier |
First Address | Rochester, NY 14610-0536 |
Second Address | Rochester, NY 14626-4122 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2019 |
Last Update Date | 19/12/2019 |