Provider Demographics
NPI:1639502149
Name:FINNERTY, PAIGE BARITOT (PT)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:BARITOT
Last Name:FINNERTY
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 1:1299 PORTLAND AVE
Mailing Address - Street 2:STE 10
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-2730
Mailing Address - Country:US
Mailing Address - Phone:585-286-9200
Mailing Address - Fax:585-286-9203
Practice Address - Street 1:1299 PORTLAND AVE
Practice Address - Street 2:STE 10
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-2730
Practice Address - Country:US
Practice Address - Phone:585-286-9200
Practice Address - Fax:585-286-9203
Is Sole Proprietor?:No
Enumeration Date:2013-08-20
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036561225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist