National Provider Identifier

Jessica Vongxay

Jessica Vongxay is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 341-6636.

NPI 1366072704Rochester, NYPhysical Therapist

Profile Overview

NPI
1366072704
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
January 24, 2020
Last Updated
January 24, 2020

Practice Location

  • 1000 South Ave
  • Rochester, NY 14620-2782

Phone: (585) 341-6636

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1366072704
Entity Type
Individual
Last Name
Vongxay
First Name
Jessica
Mailing Street Address
1000 South Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-2782
Mailing Country
US
Practice Street Address
1000 South Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-2782
Practice Country
US
Practice Phone
(585) 341-6636
Enumeration Date
January 24, 2020
Last Updated
January 24, 2020
Sex
Female
Sole Proprietor
No
Certification Date
January 24, 2020
Taxonomies
Physical Therapist (225100000X)