National Provider Identifier

Jane M Vanderwall, P.T.

Jane M Vanderwall, P.T. is listed in the NPPES registry with a primary specialty of Physical Therapist in Webster, NY and a listed phone number of (585) 671-0850.

NPI 1598854762Webster, NYPhysical Therapist

Profile Overview

NPI
1598854762
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
October 12, 2006
Last Updated
July 08, 2007

Practice Location

  • 1674 Empire Blvd
  • Webster, NY 14580-2130

Phone: (585) 671-0850

Mailing Address

  • 1980 Fairport Nine Mile PT RD
  • Penfield, NY 14526-1702

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1598854762
Entity Type
Individual
Last Name
Vanderwall
First Name
Jane
Middle Name
M
Credential
P.T.
Mailing Street Address
1980 Fairport Nine Mile PT RD
Mailing City
Penfield
Mailing State
NY
Mailing ZIP Code
14526-1702
Mailing Country
US
Practice Street Address
1674 Empire Blvd
Practice City
Webster
Practice State
NY
Practice ZIP Code
14580-2130
Practice Country
US
Practice Phone
(585) 671-0850
Enumeration Date
October 12, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)