National Provider Identifier
Debra Anne McNicholas, PTA
Debra Anne McNicholas, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Mount Morris, NY and a listed phone number of (585) 243-7223.
Profile Overview
- NPI
- 1962564831
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- December 15, 2006
- Last Updated
- July 08, 2007
Practice Location
- 11 Murray Hill Dr
- Mount Morris, NY 14510-1153
Phone: (585) 243-7223
Mailing Address
- 5997 Federal RD
- Conesus, NY 14435-9578
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1962564831
- Entity Type
- Individual
- Last Name
- McNicholas
- First Name
- Debra
- Middle Name
- Anne
- Name Prefix
- Mrs.
- Credential
- PTA
- Mailing Street Address
- 5997 Federal RD
- Mailing City
- Conesus
- Mailing State
- NY
- Mailing ZIP Code
- 14435-9578
- Mailing Country
- US
- Mailing Phone
- (585) 346-2914
- Practice Street Address
- 11 Murray Hill Dr
- Practice City
- Mount Morris
- Practice State
- NY
- Practice ZIP Code
- 14510-1153
- Practice Country
- US
- Practice Phone
- (585) 243-7223
- Enumeration Date
- December 15, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)