Doctor Name: | MRS. NANCY ATEN |
NPI Number: | 1013228576 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 004983-1 |
Business Practice Address: | 21638 Reed Rd Watertown, NY - 136015048 |
Business Phone Number: | 3157860677 |
Business Fax Number: | |
Mailing Address: | 18278 N Harbor Rd, ADAMS CENTER |
State: | NY |
Postal Code: | 136062100 |
Phone Number: | 3155835110 |
Fax Number: | |
NPI Enumeration Date: | 06/29/2010 |
NPI Last Update Date: | 06/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 004983-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |