Doctor Name: | DR. NICCIA MCCLURE |
NPI Number: | 1215147624 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PTH#5070 |
Business Practice Address: | 40 Wisteria Pl Millbrook, AL - 360541866 |
Business Phone Number: | 3342850239 |
Business Fax Number: | 3342859689 |
Mailing Address: | 40 Wisteria Pl, MILLBROOK |
State: | AL |
Postal Code: | 360541866 |
Phone Number: | 3342850239 |
Fax Number: | 3342859689 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 10/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PTH#5070 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |