National Provider Identifier
Carrie Marie Nicholas
Carrie Marie Nicholas is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 334-6000.
Source: public NPPES record, last updated February 18, 2014. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1003141110
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- October 07, 2009
- Last Updated
- February 18, 2014
Practice Location
- 3399 Winton RD S
- Rochester, NY 14623-3057
Phone: (585) 334-6000
Specialties
- Physical Therapist (225100000X)
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See more providers in the Physical Therapist classification in Rochester, NY.
Biography
Carrie Nicholas, DPT, is a Rochester-based physical therapist licensed in New York. Federal provider records list her Doctor of Physical Therapy credential and note Carrie Pavlock as a former professional name.
Full Record
- NPI
- 1003141110
- Entity Type
- Individual
- Last Name
- Nicholas
- First Name
- Carrie
- Middle Name
- Marie
- Provider Other Last Name
- Pavlock
- Provider Other First Name
- Carrie
- Provider Other Middle Name
- Marie
- Provider Other Credential Text
- DPT
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 3399 Winton RD S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-3057
- Mailing Country
- US
- Mailing Phone
- (585) 334-6000
- Mailing Fax
- (585) 334-2852
- Practice Street Address
- 3399 Winton RD S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-3057
- Practice Country
- US
- Practice Phone
- (585) 334-6000
- Enumeration Date
- October 07, 2009
- Last Updated
- February 18, 2014
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Physical Therapist (225100000X)