| NPI | 1942384151 |
|---|---|
| Former Name | NICOLE RAE MERCALDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 008351) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 8380) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-09-05 |