Doctor Name: | NICOLE L FREDERICKS |
NPI Number: | 1578541025 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 018247 |
Business Practice Address: | 2880 Us Highway 9 Suite 1 Valatie, NY - 121845423 |
Business Phone Number: | 5187586070 |
Business Fax Number: | 5187586379 |
Mailing Address: | 2880 Us Highway 9, Suite 1 VALATIE |
State: | NY |
Postal Code: | 121845423 |
Phone Number: | 5187586070 |
Fax Number: | 5187586379 |
NPI Enumeration Date: | 01/05/2006 |
NPI Last Update Date: | 12/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 018247 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |