KELLEN RICHARD ROTACH

FAIRPORT PHYSICAL THERAPY, PC

Dr KELLEN RICHARD ROTACH is a male medical professional, specializing in Physical Therapy. He graduated in 2012.

Contact

FAIRPORT PHYSICAL THERAPY, PC

59 PERINTON HILLS SHOPPING CTR
FAIRPORT
NY
14450

Tel: 5853850444

KELLEN RICHARD ROTACH Information

Npi 1821348707
Pac Id 2163673773
Professional Enrollment Id I20121107000710
Last Name ROTACH
First Name KELLEN
Middle Name RICHARD
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name FAIRPORT PHYSICAL THERAPY, PC
Group Practice Pac Id 8224203021
Number Of Group Practice Members 3
Line 1 Street Address 59 PERINTON HILLS SHOPPING CTR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FAIRPORT
State NY
Zip Code 14450
Phone Number 5853850444
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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