National Provider Identifier
Meredith Mark, PT
Meredith Mark, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Webster, NY and a listed phone number of (585) 671-1030.
Profile Overview
- NPI
- 1619038114
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- December 12, 2006
- Last Updated
- July 08, 2007
Practice Location
- 2000 Empire Blvd
- Bldg. 2
- Webster, NY 14580-1957
Phone: (585) 671-1030
Mailing Address
- 360 Bonnie Brae Ave
- Rochester, NY 14618-2135
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1619038114
- Entity Type
- Individual
- Last Name
- Mark
- First Name
- Meredith
- Credential
- PT
- Mailing Street Address
- 360 Bonnie Brae Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-2135
- Mailing Country
- US
- Mailing Phone
- (585) 242-9859
- Practice Street Address
- 2000 Empire Blvd
- Practice Address Line 2
- Bldg. 2
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-1957
- Practice Country
- US
- Practice Phone
- (585) 671-1030
- Practice Fax
- (585) 671-1991
- Enumeration Date
- December 12, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)
- Other Identifiers
- 11238956 (NY, Caqh)