Basic Information
| Provider Information | |||||||||
| NPI: | 1730352865 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NOCITO | ||||||||
| FirstName: | SHERYL | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14220 NORTHBROOK | ||||||||
| Address2: | STE 700 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2108228807 | ||||||||
| FaxNumber: | 2108228863 | ||||||||
| Practice Location | |||||||||
| Address1: | 15320 MAIN | ||||||||
| Address2: | |||||||||
| City: | LYTLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78052 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8307095777 | ||||||||
| FaxNumber: | 8307090103 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/09/2008 | ||||||||
| LastUpdateDate: | 03/04/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 1033744 | TX | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.