Provider Demographics
NPI:1114231289
Name:DOLAN, RACHEL QUASHNOC (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:QUASHNOC
Last Name:DOLAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MISS
Other - First Name:RACHEL
Other - Middle Name:BETH
Other - Last Name:QUASHNOC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1000 ELMWOOD AVE.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620
Mailing Address - Country:US
Mailing Address - Phone:585-271-0761
Mailing Address - Fax:585-442-3143
Practice Address - Street 1:1000 ELMWOOD AVE.
Practice Address - Street 2:SUITE 100
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620
Practice Address - Country:US
Practice Address - Phone:585-271-0761
Practice Address - Fax:585-442-3142
Is Sole Proprietor?:No
Enumeration Date:2010-08-02
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032866-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist