Healthcare Provider Details

I. General information

NPI: 1659508349
Provider Name (Legal Business Name): LINDA D. BROWN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2009
Last Update Date: 06/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3399 WINTON RD S
ROCHESTER NY
14623-3057
US

IV. Provider business mailing address

39 PAVILION ST
ROCHESTER NY
14620-2814
US

V. Phone/Fax

Practice location:
  • Phone: 585-334-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number003865-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: