Individual
NICOLE PIERRE-LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
245 LOCUST DR., BAY SHORE, NY 11706
(631) 560-4178
Mailing address
245 LOCUST DR, BAY SHORE, NY 11706-2130
(631) 560-4178
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
008428
NY
225200000X
Physical Therapy Assistant
Primary
2306603402
VA
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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