Provider Demographics
NPI:1427822568
Name:CHENETTE, VICTOREYA (PT, DPT)
Entity type:Individual
Prefix:
First Name:VICTOREYA
Middle Name:
Last Name:CHENETTE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 PECK RD
Mailing Address - Street 2:
Mailing Address - City:WYNANTSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12198-8727
Mailing Address - Country:US
Mailing Address - Phone:518-326-3357
Mailing Address - Fax:
Practice Address - Street 1:258 USHERS RD
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-1400
Practice Address - Country:US
Practice Address - Phone:518-871-9097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist