Kanicki, Pamela R

Kanicki, Pamela R is an sole proprietor health care provider with primary practice located at 774 Fairmount Ave , Jamestown NY 14701-2609. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Kanicki, Pamela R can be contacted via phone (716) 338-0668.

Contact Information

Primary practice address
774 Fairmount Ave Jamestown NY 14701-2609
Phone: (716) 338-0668
Fax: (866) 694-4979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 007966-1 New York

Profile Details

NPI number 1669749768
LBN Legal business name Kanicki, Pamela R
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2011
Last updated Jan 10th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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