Individual
MS. STEPHANIE C NICHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
101 WOODSIDE DR, ELMA, NY 14059-9202
(716) 652-0253
Mailing address
101 WOODSIDE DR, ELMA, NY 14059-9202
(716) 652-0253
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
012575-1
NY
2251N0400X
Neurology Physical Therapist
012575-1
NY
2251P0200X
Pediatric Physical Therapist
Primary
012575-1
NY
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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