MRS. Lauren Teresa Nicholson, P.T.

NPI #1104971324 in Montgomery, New York

Provider Information

NPI Number: 1104971324
Entity Type: Individual
Name: MRS. Lauren Teresa Nicholson, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jan 25, 2007
Last Updated: Apr 16, 2008

Practice Location

Address: 20 WALNUT ST
Address 2: SUITE B
City: Montgomery
State: New York
ZIP Code: 12549-2230
Phone: (845) 457-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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