Individual provider · Type 1 NPI
Kelly A. Nolan, PT, DPT
Pediatric Physical Therapist · Oswego, NY
Practice location
159 W 1st St
Oswego, NY 13126-2045
Mailing address
232 Wynnfield Dr
Syracuse, NY 13219-2925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 046274 (NY) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1255948675
Kelly A. Nolan, PT, DPT's National Provider Identifier is 1255948675, issued on Sep 29, 2020. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Oswego, NY. The record was last updated on Sep 29, 2020.