| Shannon Nicholls, DPT | |
|
2150 E Main St, Waterbury, CT 06705-2608 | |
| (203) 598-0400 | |
| Not Available |
| Full Name | Shannon Nicholls |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2150 E Main St, Waterbury, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992459812 | NPI | - | NPPES |
| 004190328 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 13420 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Nicholls, DPT 22 Tompkins Street, Waterbury, CT 06708-1458 Ph: () - | Shannon Nicholls, DPT 2150 E Main St, Waterbury, CT 06705-2608 Ph: (203) 598-0400 |
Mrs. Therese Kepler, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Tompkins St, Waterbury, CT 06708 Phone: 203-419-0381 Fax: 203-419-0389 | |
Alyson Paliwoda, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 Sharon Rd, Waterbury, CT 06705 Phone: 203-756-2334 | |
Miss Trisha Harris, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Tompkins St, Waterbury, CT 06708 Phone: 203-419-0381 Fax: 203-419-0389 | |
Mr. Nathan R Daigle, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Tompkins St, Waterbury, CT 06708 Phone: 203-419-0381 Fax: 203-419-0389 | |
Kelly Smith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Tompkins St, Waterbury, CT 06708 Phone: 203-419-0381 Fax: 203-419-0389 | |
Ms. Hilda S Ianigro-blinn, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 60 Westwood Ave, Suite 300, Waterbury, CT 06708 Phone: 203-597-1609 Fax: 203-597-1581 | |
Jennifer Ruiz, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 22 Tompkins St, Waterbury, CT 06708 Phone: 203-419-0381 Fax: 203-419-0389 |