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Individual
MS. NICOLE MARIE SCHRECENGOST
Active
Individual
MS. NICOLE MARIE SCHRECENGOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT023080
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103425812-0001
—
PA
05
—
103425812-0002
—
PA
01
—
PT023080
STATE LICENSE
PA
Enumeration date
08/14/2013
Last updated
05/13/2019
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