Healthcare Provider Details
I. General information
NPI: 1942545785
Provider Name (Legal Business Name): FINGER LAKES THERAPY WORKS, PHYSICAL THERAPY, OCCUPATIONAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/05/2012
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2211 LYELL AVE SUITE 102
ROCHESTER NY
14606-5743
US
IV. Provider business mailing address
2211 LYELL AVE SUITE 102
ROCHESTER NY
14606-5743
US
V. Phone/Fax
- Phone: 585-563-6060
- Fax: 585-426-4031
- Phone: 585-563-6060
- Fax: 585-426-4031
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 252Y00000X |
| Taxonomy | Early Intervention Provider Agency |
| License Number | |
| License Number State | NY |
VIII. Authorized Official
Name:
TAMMY
KORPIEL
Title or Position: OWNER/PRESIDENT
Credential: PT
Phone: 585-563-6060