IndividualActive
Alice Nellenbach, PTA
NPI 1609350016 · Physical Therapy Assistant · Liverpool, NY
Provider details
- NPI number
- 1609350016
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 006972-1 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
346 Electronics Pkwy
Liverpool, NY 13088
Phone: (315) 404-3093
Approximate (ZIP-level) locationGet directions
Mailing address
351 Orange Blossom Drive
Winter Haven, FL 33880
Registry dates
- Enumerated
- 2018-09-20
- Last updated
- 2020-01-29
- Certified
- 2020-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.