Provider Demographics
NPI:1669802971
Name:GULVIN, RACHEL ANN (DPT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:GULVIN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ANN
Other - Last Name:KOCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:83 SAINT JAMES DR
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-2247
Mailing Address - Country:US
Mailing Address - Phone:585-502-9531
Mailing Address - Fax:585-637-3572
Practice Address - Street 1:83 SAINT JAMES DR
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-2247
Practice Address - Country:US
Practice Address - Phone:585-502-9531
Practice Address - Fax:585-206-4088
Is Sole Proprietor?:No
Enumeration Date:2013-11-22
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0371472251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic