Provider Demographics
NPI:1225775539
Name:MCDEVITT, NICOLE T (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:T
Last Name:MCDEVITT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:NICOLE
Other - Middle Name:T
Other - Last Name:BOCHANSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:203 CRUMP RD
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1516
Mailing Address - Country:US
Mailing Address - Phone:610-241-2685
Mailing Address - Fax:877-732-7311
Practice Address - Street 1:203 CRUMP RD
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1516
Practice Address - Country:US
Practice Address - Phone:610-241-2685
Practice Address - Fax:877-732-7311
Is Sole Proprietor?:No
Enumeration Date:2022-05-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT019450225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist