Doctor Name: | MS. MICHELLE T NUNNO-EVANS |
NPI Number: | 1033416029 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT,DPT |
License Number: | 007936-1 |
Business Practice Address: | 8200 Seneca Tpke Clinton, NY - 133231027 |
Business Phone Number: | 3157381671 |
Business Fax Number: | |
Mailing Address: | 7726 Smith Rd, ROME |
State: | NY |
Postal Code: | 134401522 |
Phone Number: | 3153375389 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2011 |
NPI Last Update Date: | 10/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 007936-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |