Provider Demographics
NPI:1457679177
Name:ABITTAN, BARBARA FLENDER (225100000X)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:FLENDER
Last Name:ABITTAN
Suffix:
Gender:F
Credentials:225100000X
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:LISA
Other - Last Name:FLENDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2035 MONROE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-2027
Mailing Address - Country:US
Mailing Address - Phone:585-461-9670
Mailing Address - Fax:
Practice Address - Street 1:2035 MONROE AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-2027
Practice Address - Country:US
Practice Address - Phone:585-461-9670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-05
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006809-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist