Doctor Name: | MRS. NICOLE LYNN TATRO |
NPI Number: | 1700909025 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 0400003460 |
Business Practice Address: | 319 S Main St Suite 1 Saint Albans, VT - 054786214 |
Business Phone Number: | 8023939115 |
Business Fax Number: | |
Mailing Address: | 319 S Main St, Suite 1 SAINT ALBANS |
State: | VT |
Postal Code: | 054786214 |
Phone Number: | 8023939115 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 01/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0400003460 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
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 |