Individual
MISS NICOLE KRISTINA PARSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
92 SERENE PL, HAUPPAUGE, NY 11788-3535
(631) 972-4263
Mailing address
7 BELL AVE, BLUE POINT, NY 11715-1106
(631) 972-4263
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010930
NY
Other
Enumeration date
04/08/2019
Last updated
07/21/2020
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