Individual
SOPHIE NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
718 OLD LIVERPOOL RD, LIVERPOOL, NY 13088-6035
(315) 457-7005
Mailing address
230 W WILLOW ST APT 410, SYRACUSE, NY 13202-1086
(269) 365-2760
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
053086
NY
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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