Individual
NICOLE HEISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
792 N MAIN ST, STE 100C, NORTH SYRACUSE, NY 13212-1644
(315) 458-2552
(315) 458-2575
Mailing address
792 N MAIN ST, STE 100C, NORTH SYRACUSE, NY 13212-1644
(315) 458-2552
(315) 458-2575
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007145
NY
225200000X
Physical Therapy Assistant
A4385
NC
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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