IndividualActive
Andrea Tait, P.T.
NPI 1164707378 · Pediatric Physical Therapist · Victor, NY
Provider details
- NPI number
- 1164707378
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- No
- License
- 021124 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
953 High St
Victor, NY 14564-1168
Phone: (585) 924-3252
Approximate (ZIP-level) locationGet directions
Mailing address
6311 Lambert St
Victor, NY 14564-9254
Registry dates
- Enumerated
- 2011-10-19
- Last updated
- 2011-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.