| NPI | 1851725980 |
|---|---|
| Former Name | NICOLE PARIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV PT003257) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023052) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2022-07-06 |