Provider Demographics
NPI:1407151624
Name:ROWE, ELIZABETH FERN (PT)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:FERN
Last Name:ROWE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 COMMODORE PKWY
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-2028
Mailing Address - Country:US
Mailing Address - Phone:585-425-2877
Mailing Address - Fax:
Practice Address - Street 1:384 EAST AVE STE B
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-1909
Practice Address - Country:US
Practice Address - Phone:585-720-9608
Practice Address - Fax:585-720-5484
Is Sole Proprietor?:No
Enumeration Date:2011-01-19
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist