MEDICARE: MR. GEOFFREY WARWICK HUTCHINSON PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	003229	NY

General Provider Information

NPI Number	:	1043265994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GEOFFREY WARWICK HUTCHINSON PT

Provider Business Mailing Address
First Line	:	4875 EMERSON RD
Second Line	:
City	:	CANANDAIGUA
State	:	NY
Zip	:	14424-8022
Country	:	US
Telephone Number	:	585-394-8688
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 FORT HILL AVE
Second Line	:
City	:	CANANDAIGUA
State	:	NY
Zip	:	14424-1159
Country	:	US
Telephone Number	:	585-393-7516
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	07/08/2007

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