Nicole Derue Physical Therapy P.c.
NPI #1053503185 in Central Square, New York
Provider Information
- NPI Number
- 1053503185
- Entity Type
- Organization
- Organization Name
- Nicole Derue Physical Therapy P.c.
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Aug 13, 2007
- Last Updated
- Nov 21, 2007
Practice Location
- Address
- 573 S MAIN ST
- City
- Central Square
- State
- New York
- ZIP Code
- 13036-9785
- Phone
- (315) 676-3826
Authorized Official
- Name
- MS. NICOLE BLYTHE DERUE, P.T
- Title
- PRESIDENT
- Phone
- (315) 676-3826
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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