National Provider Identifier

Kara Faso Miranda

Kara Faso Miranda is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Rochester, NY and a listed phone number of (585) 697-6000.

NPI 1831778646Rochester, NYPhysical Therapy Assistant

Profile Overview

NPI
1831778646
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
April 07, 2021
Last Updated
April 07, 2021

Practice Location

  • 1500 Portland Ave
  • Rochester, NY 14621-3065

Phone: (585) 697-6000

Mailing Address

  • 15 High St
  • Sodus, NY 14551-1144

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1831778646
Entity Type
Individual
Last Name
Faso Miranda
First Name
Kara
Mailing Street Address
15 High St
Mailing City
Sodus
Mailing State
NY
Mailing ZIP Code
14551-1144
Mailing Country
US
Practice Street Address
1500 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3065
Practice Country
US
Practice Phone
(585) 697-6000
Enumeration Date
April 07, 2021
Last Updated
April 07, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
April 07, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)