National Provider Identifier

McLeana Elizabeth Kostraba, PT

McLeana Elizabeth Kostraba, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Macedon, NY and a listed phone number of (315) 538-0149.

NPI 1598281453Macedon, NYPhysical Therapist

Profile Overview

NPI
1598281453
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
August 22, 2017
Last Updated
July 27, 2022

Practice Location

  • 515 Sampson Dr Ste 201
  • Macedon, NY 14502-8203

Phone: (315) 538-0149

Mailing Address

  • PO Box 212
  • Mendon, NY 14506-0212

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1598281453
Entity Type
Individual
Last Name
Kostraba
First Name
McLeana
Middle Name
Elizabeth
Credential
PT
Provider Other Last Name
Schwab
Provider Other First Name
McLeana
Provider Other Credential Text
DPT
Provider Other Last Name Type Code
1
Mailing Street Address
PO Box 212
Mailing City
Mendon
Mailing State
NY
Mailing ZIP Code
14506-0212
Mailing Country
US
Mailing Phone
(585) 582-1330
Practice Street Address
515 Sampson Dr Ste 201
Practice City
Macedon
Practice State
NY
Practice ZIP Code
14502-8203
Practice Country
US
Practice Phone
(315) 538-0149
Enumeration Date
August 22, 2017
Last Updated
July 27, 2022
Sex
Female
Sole Proprietor
No
Certification Date
July 27, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)