Provider Demographics
NPI:1467142273
Name:MULHERN, BETH HOLCOMB (PT)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:HOLCOMB
Last Name:MULHERN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:ANN
Other - Last Name:HOLCOMB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:185 HARPINGTON DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-2634
Mailing Address - Country:US
Mailing Address - Phone:585-739-5195
Mailing Address - Fax:
Practice Address - Street 1:749 MAIDEN LN
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14615-1229
Practice Address - Country:US
Practice Address - Phone:585-546-7275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist