Provider Demographics
NPI:1982756607
Name:GINDER, EVA KRISTINA (PT)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:KRISTINA
Last Name:GINDER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 FENWICK LN
Mailing Address - Street 2:
Mailing Address - City:VICTOR
Mailing Address - State:NY
Mailing Address - Zip Code:14564-1296
Mailing Address - Country:US
Mailing Address - Phone:585-737-9127
Mailing Address - Fax:
Practice Address - Street 1:2515 CULVER RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-1751
Practice Address - Country:US
Practice Address - Phone:585-467-4544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0140501225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PO10014050OtherEXCELLUS
149790FTOtherPREFERRED CARE
PO10014050OtherEXCELLUS