Doctor Name: | JOYCE ANNETTE NICKEL |
NPI Number: | 1124146584 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5501010320 |
Business Practice Address: | 2500 N Elms Rd Flushing, MI - 484339426 |
Business Phone Number: | 8103425556 |
Business Fax Number: | 8103425589 |
Mailing Address: | 5265 N Mckinley Rd, FLUSHING |
State: | MI |
Postal Code: | 484331115 |
Phone Number: | 8106592747 |
Fax Number: | 8103425589 |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501010320 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |