| NPI | 1174595854 |
|---|---|
| Other Name | KIM JANNETTE ISAACSON-NICOLETTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 13649) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1254899) |
| 225100000X Physical Therapist (Licence: NY 008973) | |
| 225100000X Physical Therapist (Licence: CT 004129) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2021-07-30 |