Doctor Name: | NICHOLE DELISIO |
NPI Number: | 1336210681 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 21336 |
Business Practice Address: | 9135 Piscataway Rd Suite 305 Clinton, MD - 207352549 |
Business Phone Number: | 3018772323 |
Business Fax Number: | 3018772366 |
Mailing Address: | 9093 Ridgefield Dr, S 201 FREDERICK |
State: | MD |
Postal Code: | 217016712 |
Phone Number: | 3016965595 |
Fax Number: | 3016960842 |
NPI Enumeration Date: | 11/10/2006 |
NPI Last Update Date: | 07/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 21336 |
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 |