National Provider Identifier

Vanessa Rose Mirabito

Vanessa Rose Mirabito is listed in the NPPES registry with a primary specialty of Physical Therapist in Montour Falls, NY and a listed phone number of (607) 535-8616.

NPI 1790997211Montour Falls, NYPhysical Therapist

Profile Overview

NPI
1790997211
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
May 04, 2007
Last Updated
January 27, 2010

Practice Location

  • 220 Steuben St
  • Montour Falls, NY 14865-9740

Phone: (607) 535-8616

Mailing Address

  • 220 S Geneva St
  • Apt 4
  • Ithaca, NY 14850-5425

Specialties

  • Physical Therapist (225100000X)
  • Athletic Trainer (2255A2300X)
Full Record
NPI
1790997211
Entity Type
Individual
Last Name
Mirabito
First Name
Vanessa
Middle Name
Rose
Mailing Street Address
220 S Geneva St
Mailing Address Line 2
Apt 4
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-5425
Mailing Country
US
Mailing Phone
(607) 226-0142
Practice Street Address
220 Steuben St
Practice City
Montour Falls
Practice State
NY
Practice ZIP Code
14865-9740
Practice Country
US
Practice Phone
(607) 535-8616
Enumeration Date
May 04, 2007
Last Updated
January 27, 2010
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X), Athletic Trainer (2255A2300X)