Provider Demographics
NPI:1235961533
Name:PIGHETTI, GABRIELLE S (DPT)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:S
Last Name:PIGHETTI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 CAYUGA WAY
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14504-9751
Mailing Address - Country:US
Mailing Address - Phone:814-482-0485
Mailing Address - Fax:
Practice Address - Street 1:1000 PITTSFORD VICTOR RD
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-3822
Practice Address - Country:US
Practice Address - Phone:585-387-1430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052542225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist