National Provider Identifier

Autumn Terwilliger, PT, DPT

Autumn Terwilliger, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 473-1290.

NPI 1184260473Rochester, NYPhysical Therapist

Profile Overview

NPI
1184260473
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
November 21, 2019
Last Updated
February 14, 2023

Practice Location

  • 2561 Lac De Ville Blvd Ste 100
  • Rochester, NY 14618-5645

Phone: (585) 473-1290

Specialties

  • Physical Therapist (225100000X)
  • Physical Therapist (225100000X)
Full Record
NPI
1184260473
Entity Type
Individual
Last Name
Terwilliger
First Name
Autumn
Credential
PT, DPT
Provider Other Last Name
Hansen
Provider Other First Name
Autumn
Provider Other Credential Text
PT, DPT
Provider Other Last Name Type Code
1
Mailing Street Address
2561 Lac De Ville Blvd Ste 100
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-5645
Mailing Country
US
Mailing Phone
(585) 473-1290
Practice Street Address
2561 Lac De Ville Blvd Ste 100
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-5645
Practice Country
US
Practice Phone
(585) 473-1290
Enumeration Date
November 21, 2019
Last Updated
February 14, 2023
Sex
Female
Sole Proprietor
No
Certification Date
February 14, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X), Physical Therapist (225100000X)