RACHAEL WILEY NICOLAISEN

LOS ANGELES, CA
NPI1700949344
Former NameRACHAEL MICHELLE WILEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  28739)
Enumeration Date2006-12-18
Last Update Date2021-12-02
Business Address
RACHAEL WILEY NICOLAISEN DPT
6041 CADILLAC AVE
LOS ANGELES, CA 90034-1702
Phone number: 541-521-8867
Mailing Address
RACHAEL WILEY NICOLAISEN DPT
4330 KRAFT AVE
STUDIO CITY, CA 91604-2741
Phone number: 541-521-8867