National Provider Identifier

Andrea L Tait, P.T.

Andrea L Tait, P.T. is listed in the NPPES registry with a primary specialty of Pediatric Physical Therapist in Victor, NY and a listed phone number of (585) 924-3252.

NPI 1164707378Victor, NYPediatric Physical Therapist

Profile Overview

NPI
1164707378
Provider Type
Individual
Primary Specialty
Pediatric Physical Therapist
Enumeration Date
October 19, 2011
Last Updated
October 19, 2011

Practice Location

  • 953 High St
  • Victor, NY 14564-1168

Phone: (585) 924-3252

Mailing Address

  • 6311 Lambert St
  • Victor, NY 14564-9254

Specialties

  • Pediatric Physical Therapist (2251P0200X)
Full Record
NPI
1164707378
Entity Type
Individual
Last Name
Tait
First Name
Andrea
Middle Name
L
Name Prefix
MS.
Credential
P.T.
Mailing Street Address
6311 Lambert St
Mailing City
Victor
Mailing State
NY
Mailing ZIP Code
14564-9254
Mailing Country
US
Mailing Phone
(585) 944-4664
Practice Street Address
953 High St
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-1168
Practice Country
US
Practice Phone
(585) 924-3252
Enumeration Date
October 19, 2011
Last Updated
October 19, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Physical Therapist (2251P0200X)