National Provider Identifier

Jessica Castor, DPT

Jessica Castor, DPT is listed in the NPPES registry with a primary specialty of Pediatric Physical Therapist in Fairport, NY and a listed phone number of (315) 651-6725.

NPI 1730650540Fairport, NYPediatric Physical Therapist

Profile Overview

NPI
1730650540
Provider Type
Individual
Primary Specialty
Pediatric Physical Therapist
Enumeration Date
December 06, 2018
Last Updated
December 06, 2018

Practice Location

  • 449 Garnsey RD
  • Fairport, NY 14450-3909

Phone: (315) 651-6725

Specialties

  • Pediatric Physical Therapist (2251P0200X)
Full Record
NPI
1730650540
Entity Type
Individual
Last Name
Castor
First Name
Jessica
Name Prefix
Dr.
Credential
DPT
Mailing Street Address
449 Garnsey RD
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-3909
Mailing Country
US
Mailing Phone
(315) 651-6725
Practice Street Address
449 Garnsey RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-3909
Practice Country
US
Practice Phone
(315) 651-6725
Enumeration Date
December 06, 2018
Last Updated
December 06, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Physical Therapist (2251P0200X)