Nicole Derue, PT
NPI #1629135371 in Central Square, New York
Provider Information
- NPI Number
- 1629135371
- Entity Type
- Individual
- Name
- Nicole Derue, PT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Jan 2, 2007
- Last Updated
- Nov 29, 2007
Practice Location
- Address
- 573 S MAIN ST
- City
- Central Square
- State
- New York
- ZIP Code
- 13036-9785
- Phone
- (315) 676-3826
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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