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General NPI Number Information
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NPI Number | 1336732684
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Entity Type | Organization
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Legal Business Name | WELLNESS 360 PHYSICAL THERAPY AND MASSAGE PLLC
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Dates
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Enumeration Date | 02/18/2021
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 961 PANORAMA TRL S STE 2
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City | ROCHESTER
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State | NY
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Zip | 14625-2311
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Country | US
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Telephone | 585-482-5060
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Fax | 585-512-8372
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Provider Business Mailing Address
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Address Line | 961 PANORAMA TRL S STE 2
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City | ROCHESTER
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State | NY
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Zip | 14625-2311
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Country | US
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Telephone | 585-482-5060
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Fax | 585-512-8372
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Authorized Official
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Title or Position | OWNER, MANAGING PARTNER
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Name | LINDSAY A PEREZ
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Credential | MSPT, CLT
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Telephone | 585-482-5060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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