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.
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)
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
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)