Doctor Name: | NICOLE MARIE WARGO |
NPI Number: | 1467775148 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 5501015088 |
Business Practice Address: | 21550 Harrington St Suite D Clinton Township, MI - 480362362 |
Business Phone Number: | 5867837590 |
Business Fax Number: | 5867837876 |
Mailing Address: | 878 S Rochester Rd, ROCHESTER HILLS |
State: | MI |
Postal Code: | 483072740 |
Phone Number: | 2486019207 |
Fax Number: | 2486508670 |
NPI Enumeration Date: | 03/09/2010 |
NPI Last Update Date: | 03/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501015088 |
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 |