National Provider Identifier

Michelle Jean McDonald

Michelle Jean McDonald is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Newark, NY and a listed phone number of (315) 331-1700.

NPI 1417310541Newark, NYPhysical Therapy Assistant

Profile Overview

NPI
1417310541
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
April 05, 2016
Last Updated
April 05, 2016

Practice Location

  • 703 E Maple Ave
  • Newark, NY 14513-1845

Phone: (315) 331-1700

Mailing Address

  • 3220 Middle Cheshire RD
  • Canandaigua, NY 14424-2470

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1417310541
Entity Type
Individual
Last Name
McDonald
First Name
Michelle
Middle Name
Jean
Mailing Street Address
3220 Middle Cheshire RD
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-2470
Mailing Country
US
Mailing Phone
(585) 394-5070
Practice Street Address
703 E Maple Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1845
Practice Country
US
Practice Phone
(315) 331-1700
Enumeration Date
April 05, 2016
Last Updated
April 05, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)