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Individual
MS. NICOLA A OWEN
Active
Individual
MS. NICOLA A OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00572700
NJ
2251S0007X
Sports Physical Therapist
40QA00572700
NJ
2251X0800X
Orthopedic Physical Therapist
40QA00572700
NJ
Other
Enumeration date
04/19/2006
Last updated
04/04/2019
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