National Provider Identifier
Jenna Prewasnicak
Jenna Prewasnicak is listed in the NPPES registry with a primary specialty of Physical Therapist in Canandaigua, NY and a listed phone number of (585) 396-6000.
Profile Overview
- NPI
- 1770307829
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- November 14, 2024
- Last Updated
- November 14, 2024
Practice Location
- 350 Parrish St
- Canandaigua, NY 14424-1793
Phone: (585) 396-6000
Mailing Address
- 6 Homestead Vw
- Rochester, NY 14624-4361
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1770307829
- Entity Type
- Individual
- Last Name
- Prewasnicak
- First Name
- Jenna
- Mailing Street Address
- 6 Homestead Vw
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-4361
- Mailing Country
- US
- Mailing Phone
- (585) 208-8663
- Practice Street Address
- 350 Parrish St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1793
- Practice Country
- US
- Practice Phone
- (585) 396-6000
- Enumeration Date
- November 14, 2024
- Last Updated
- November 14, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 14, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)