National Provider Identifier

Rosette Mutas Aviles

Rosette Mutas Aviles is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Grand Island, NY and a listed phone number of (716) 773-5900.

NPI 1578209474Grand Island, NYPhysical Therapy Assistant

Profile Overview

NPI
1578209474
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
May 12, 2022
Last Updated
May 12, 2022

Practice Location

  • 2850 Grand Island Blvd
  • Grand Island, NY 14072-1251

Phone: (716) 773-5900

Mailing Address

  • 1305 Kenwood Dr
  • North Wales, PA 19454-3707

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1578209474
Entity Type
Individual
Last Name
Aviles
First Name
Rosette
Middle Name
Mutas
Mailing Street Address
1305 Kenwood Dr
Mailing City
North Wales
Mailing State
PA
Mailing ZIP Code
19454-3707
Mailing Country
US
Mailing Phone
(215) 650-1654
Practice Street Address
2850 Grand Island Blvd
Practice City
Grand Island
Practice State
NY
Practice ZIP Code
14072-1251
Practice Country
US
Practice Phone
(716) 773-5900
Enumeration Date
May 12, 2022
Last Updated
May 12, 2022
Sex
Female
Sole Proprietor
No
Certification Date
May 07, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)