NICOLE BAKOS

MORGANTOWN, WV
NPI1033495700
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  WV000779)
Enumeration Date2011-10-26
Last Update Date2011-10-26
Business Address
-- NICOLE BAKOS PTA
170 LAKEVIEW DR SUITE 2
MORGANTOWN, WV 26508-9284
Phone number: 304-594-1545
Mailing Address
-- NICOLE BAKOS PTA
943 MAPLE DR
MORGANTOWN, WV 26505-2812
Phone number: 304-599-2515