National Provider Identifier
Autumn Rose Rynkowski, PTA
Autumn Rose Rynkowski, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Newark, NY and a listed phone number of (315) 331-2086.
Profile Overview
- NPI
- 1124834460
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- December 10, 2024
- Last Updated
- December 10, 2024
Practice Location
- 848 Peirson Ave
- Newark, NY 14513-9762
Phone: (315) 331-2086
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1124834460
- Entity Type
- Individual
- Last Name
- Rynkowski
- First Name
- Autumn
- Middle Name
- Rose
- Credential
- PTA
- Mailing Street Address
- 848 Peirson Ave
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-9762
- Mailing Country
- US
- Mailing Phone
- (315) 331-2086
- Mailing Fax
- (315) 549-2610
- Practice Street Address
- 848 Peirson Ave
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-9762
- Practice Country
- US
- Practice Phone
- (315) 331-2086
- Practice Fax
- (315) 549-2610
- Enumeration Date
- December 10, 2024
- Last Updated
- December 10, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 10, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)