Individual
MS. ALICE NELLENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
346 ELECTRONICS PKWY, LIVERPOOL, NY 13088
(315) 404-3093
Mailing address
351 ORANGE BLOSSOM DRIVE, WINTER HAVEN, FL 33880
(315) 404-3093
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
006972-1
NY
225200000X
Physical Therapy Assistant
Primary
29425
FL
Other
Enumeration date
09/20/2018
Last updated
01/29/2020
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