Doctor Name: | NICOLE RAE PISARRA |
NPI Number: | 1275583866 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 16671 |
Business Practice Address: | 10085 Red Run Blvd Suite 104 Owings Mills, MD - 211174836 |
Business Phone Number: | 4433940360 |
Business Fax Number: | |
Mailing Address: | 6015 Kennard Ct, ELDERSBURG |
State: | MD |
Postal Code: | 217848422 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 16671 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |