Doctor Name: | MS. NICOLE MARIE SERENE |
NPI Number: | 1063816668 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT 26678 |
Business Practice Address: | 303 N Hurstbourne Pkwy Ste 200 Louisville, KY - 402225158 |
Business Phone Number: | 5024125847 |
Business Fax Number: | |
Mailing Address: | 5681 Bentgrass Dr Unit 207, SARASOTA |
State: | FL |
Postal Code: | 342357640 |
Phone Number: | 7246644556 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2014 |
NPI Last Update Date: | 10/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 26678 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |