Healthcare Provider Details

I. General information

NPI: 1083863534
Provider Name (Legal Business Name): BARBARA JEAN HINES-BELL PHYSICAL THER ASSIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. BARBARA JEAN BELL

II. Dates (important events)

Enumeration Date: 09/09/2008
Last Update Date: 09/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 WESTFALL RD
ROCHESTER NY
14620-4610
US

IV. Provider business mailing address

134 FARMINGTON RD
ROCHESTER NY
14609-6646
US

V. Phone/Fax

Practice location:
  • Phone: 585-461-4482
  • Fax: 585-461-8545
Mailing address:
  • Phone:
  • Fax: 585-461-8545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number002769-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: