Healthcare Provider Details

I. General information

NPI: 1902932619
Provider Name (Legal Business Name): MELISSA ZIEGLER P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 METRO PARK SUITE 105
ROCHESTER NY
14623-2610
US

IV. Provider business mailing address

1126 JACKSON RD
WEBSTER NY
14580-8510
US

V. Phone/Fax

Practice location:
  • Phone: 585-427-7610
  • Fax: 585-427-7410
Mailing address:
  • Phone: 585-872-2564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number021000-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: