Doctor Name: | MRS. CAROL W. NICHOLSON |
NPI Number: | 1063538908 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICAL THERAPIST |
License Number: | PT003123L |
Business Practice Address: | Riverstreet Manor 440 North Main Street Wilkes Barre, PA - 18702 |
Business Phone Number: | 5708255611 |
Business Fax Number: | |
Mailing Address: | 53 E Vaughn St, KINGSTON |
State: | PA |
Postal Code: | 187044817 |
Phone Number: | 5702885344 |
Fax Number: | 5702832167 |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT003123L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |