National Provider Identifier
Ellen Larzelere
Ellen Larzelere is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 922-4000.
Profile Overview
- NPI
- 1578184545
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 01, 2020
- Last Updated
- May 01, 2020
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3011
Phone: (585) 922-4000
Mailing Address
- 58 Wheatfield Cir
- Fairport, NY 14450-9322
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1578184545
- Entity Type
- Individual
- Last Name
- Larzelere
- First Name
- Ellen
- Mailing Street Address
- 58 Wheatfield Cir
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-9322
- Mailing Country
- US
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3011
- Practice Country
- US
- Practice Phone
- (585) 922-4000
- Enumeration Date
- May 01, 2020
- Last Updated
- May 01, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 01, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)