National Provider Identifier
Pamela R Kanicki, PTA
Pamela R Kanicki, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Jamestown, NY and a listed phone number of (716) 338-0668.
Source: public NPPES record, last updated January 10, 2014. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1669749768
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- November 18, 2011
- Last Updated
- January 10, 2014
Practice Location
- 774 Fairmount Ave
- Jamestown, NY 14701-2609
Phone: (716) 338-0668
Specialties
- Physical Therapy Assistant (225200000X)
Browse Similar Providers
See more providers in the Physical Therapy Assistant classification in Jamestown, NY.
Biography
Pamela Kanicki is a physical therapist assistant based in Jamestown, New York. I could not identify a reliable public health-system, faculty, training, or practice profile with additional professional background to support a more detailed bio.
Full Record
- NPI
- 1669749768
- Entity Type
- Individual
- Last Name
- Kanicki
- First Name
- Pamela
- Middle Name
- R
- Credential
- PTA
- Mailing Street Address
- 774 Fairmount Ave
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-2609
- Mailing Country
- US
- Mailing Phone
- (716) 338-0668
- Mailing Fax
- (866) 694-4979
- Practice Street Address
- 774 Fairmount Ave
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-2609
- Practice Country
- US
- Practice Phone
- (716) 338-0668
- Practice Fax
- (866) 694-4979
- Enumeration Date
- November 18, 2011
- Last Updated
- January 10, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomies
- Physical Therapy Assistant (225200000X)