Individual
MRS. DEBRA ANNE MCNICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11 MURRAY HILL DR, MOUNT MORRIS, NY 14510-1153
(585) 243-7223
Mailing address
5997 FEDERAL RD, CONESUS, NY 14435-9578
(585) 346-2914
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004097-1
NY
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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