Nicole Alyson Mcclone
Physical Therapist
3055 County Road 210 W Ste 110
St Johns
, Florida 32259
Nicole Alyson Mcclone
Physical Therapist
3055 County Road 210 W Ste 110
St Johns
, Florida 32259
(904) 825-2490
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Nicole Alyson Mcclone
- 1 Orthopaedic Pl
- St Augustine, FL
- Zip : 32086-4202
- Fax : (904) 825-2490
- Phone : (904) 825-0540
Second Address
- Nicole Alyson Mcclone
- 3055 County Road 210 W Ste 110
- St Johns, FL
- Zip : 32259
- Fax : (904) 825-2490
- Phone : (904) 825-0540
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT27401 | FL |
National Provider Identifier
| NPI | 1003160896 |
|---|---|
| Provider Name | Nicole Alyson Mcclone |
| First Address | St Augustine, FL 32086-4202 |
| Second Address | St Johns, FL 32259 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2012 |
| Last Update Date | 20/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.