Doctor Name: | REBECCA A NICKERSON |
NPI Number: | 1861789950 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT021528 |
Business Practice Address: | 3000 C G Zinn Rd Suite 202 Thorndale, PA - 193721134 |
Business Phone Number: | 6103837700 |
Business Fax Number: | 6103839726 |
Mailing Address: | 3000 C G Zinn Rd, Suite 202 THORNDALE |
State: | PA |
Postal Code: | 193721134 |
Phone Number: | 6103837700 |
Fax Number: | 6103839726 |
NPI Enumeration Date: | 07/08/2011 |
NPI Last Update Date: | 07/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT021528 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |