National Provider Identifier

Freedom Therapy, Occupational Therapy, P.C.

Freedom Therapy, Occupational Therapy, P.C. is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician in Rochester, NY and a listed phone number of (585) 720-9608.

NPI 1144358672Rochester, NYPhysical Medicine & Rehabilitation Physician

Profile Overview

NPI
1144358672
Provider Type
Organization
Primary Specialty
Physical Medicine & Rehabilitation Physician
Enumeration Date
February 28, 2007
Last Updated
December 03, 2007

Practice Location

  • 384 East Ave Ste B
  • Rochester, NY 14607-1909

Phone: (585) 720-9608

Specialties

  • Physical Medicine & Rehabilitation Physician (208100000X)
Full Record
NPI
1144358672
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Freedom Therapy, Occupational Therapy, P.C.
Mailing Street Address
384 East Ave Ste B
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14607-1909
Mailing Country
US
Mailing Phone
(585) 720-9608
Practice Street Address
384 East Ave Ste B
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-1909
Practice Country
US
Practice Phone
(585) 720-9608
Enumeration Date
February 28, 2007
Last Updated
December 03, 2007
Authorized Official Last Name
Burge
Authorized Official First Name
Samuel
Authorized Official Middle Name
L
Authorized Official Title
President
Authorized Official Phone
(585) 720-9608
Organization Subpart
No
Authorized Official Name Suffix Text
II
Authorized Official Credential Text
PT
Taxonomy Group 1
193200000X Multi-Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Medicine & Rehabilitation Physician (208100000X)
Other Identifiers
G0188595590 (NY, Blue Choice)