Provider Demographics
NPI:1881465722
Name:WELCH PHYSICAL THERAPY
Entity type:Organization
Organization Name:WELCH PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:607-684-7287
Mailing Address - Street 1:223 PINE ST
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14830-3131
Mailing Address - Country:US
Mailing Address - Phone:607-329-0919
Mailing Address - Fax:607-238-2050
Practice Address - Street 1:139 WALNUT ST STE 101
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:NY
Practice Address - Zip Code:14830-2545
Practice Address - Country:US
Practice Address - Phone:607-684-7287
Practice Address - Fax:607-238-2050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty