National Provider Identifier
Jennifer Ann Beideck, PTA
Jennifer Ann Beideck, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Rochester, NY and a listed phone number of (585) 467-4567.
Profile Overview
- NPI
- 1134379639
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- September 22, 2008
- Last Updated
- September 22, 2008
Practice Location
- 41 Colebrook Dr
- Rochester, NY 14617-2211
Phone: (585) 467-4567
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1134379639
- Entity Type
- Individual
- Last Name
- Beideck
- First Name
- Jennifer
- Middle Name
- Ann
- Credential
- PTA
- Mailing Street Address
- 41 Colebrook Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-2211
- Mailing Country
- US
- Mailing Phone
- (585) 467-4567
- Practice Street Address
- 41 Colebrook Dr
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14617-2211
- Practice Country
- US
- Practice Phone
- (585) 467-4567
- Enumeration Date
- September 22, 2008
- Last Updated
- September 22, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)