Provider Demographics
NPI:1750486064
Name:MCMANUS, NICOLE C (PT)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:C
Last Name:MCMANUS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:37 ROUTE 236
Mailing Address - Street 2:SUITE 210
Mailing Address - City:KITTERY
Mailing Address - State:ME
Mailing Address - Zip Code:03904-6000
Mailing Address - Country:US
Mailing Address - Phone:207-439-2675
Mailing Address - Fax:207-439-4965
Practice Address - Street 1:475 HIGH ST
Practice Address - Street 2:UNIT E
Practice Address - City:SOMERSWORTH
Practice Address - State:NH
Practice Address - Zip Code:03878-1024
Practice Address - Country:US
Practice Address - Phone:603-617-3846
Practice Address - Fax:603-617-3848
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA17593225100000X
NH3273225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist