| NPI | 1366407611 |
|---|---|
| Former Name | NICOLA A TABASSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00572700) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: NJ 40QA00572700) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA00572700) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2019-04-04 |