Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 012575-1 | NY |
N | 2251N0400X | Physical Therapist - Neurology | 012575-1 | NY |
Y | 2251P0200X | Physical Therapist - Pediatrics | 012575-1 | NY |
NPI | 1245486042 |
---|---|
Provider Name | Ms. Stephanie C Nichter |
First Address | Elma, NY 14059-9202 |
Second Address | Elma, NY 14059-9202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2008 |
Last Update Date | 12/08/2008 |