MRS. Nicole Lynne Shreve, MPT

NPI #1821313404 in Clarksburg, West Virginia

Provider Information

NPI Number: 1821313404
Entity Type: Individual
Name: MRS. Nicole Lynne Shreve, MPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Apr 7, 2010
Last Updated: Mar 18, 2014

Practice Location

Address: 1 MED CENTER DR
City: Clarksburg
State: West Virginia
ZIP Code: 26301-4155
Phone: (304) 623-3461

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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