Doctor Name: | MRS. MAUREEN ELIZABETH NICOLLS |
NPI Number: | 1255440871 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | |
Business Practice Address: | 324 Roxbury Rd Rockford, IL - 611075090 |
Business Phone Number: | 8153989491 |
Business Fax Number: | 8153817498 |
Mailing Address: | Po Box 5247, ROCKFORD |
State: | IL |
Postal Code: | 611250247 |
Phone Number: | 8153989491 |
Fax Number: | 8153817498 |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 01/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |