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Nicholas Marchand, pta

Physical Therapy Assistant in Coram, NY. Individual provider (NPI-1).

NPI number1093199895
StatusActive
Last updated in NPPESJul 13, 2015

Details

NPI
1093199895
Entity type
Individual (NPI-1)
Name
Nicholas Marchand
Credential
pta
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 13, 2015
Last updated
Jul 13, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant008704NYYes

Practice location

82 Howe Road
Coram, NY 11727

Phone 631-681-3699

Mailing address

82 Howe Road
Coram, NY 11727

Phone 631-681-3699

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