Provider Demographics
NPI:1649586132
Name:GOMBATTO, SARA P (PT, PHD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:P
Last Name:GOMBATTO
Suffix:
Gender:F
Credentials:PT, PHD
Other - Prefix:
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Mailing Address - Street 1:4245 EAST AVE
Mailing Address - Street 2:PHYSICAL THERAPY DEPARTMENT
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-3703
Mailing Address - Country:US
Mailing Address - Phone:585-389-2904
Mailing Address - Fax:585-389-2908
Practice Address - Street 1:3019 MONROE AVE
Practice Address - Street 2:#200 R
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-4603
Practice Address - Country:US
Practice Address - Phone:585-271-1670
Practice Address - Fax:585-271-1675
Is Sole Proprietor?:No
Enumeration Date:2010-08-23
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY020896-12251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic