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Individual
NICOLE THERESA SABOL
Active
Individual
NICOLE THERESA SABOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
DAPT003399
PA
225100000X
Physical Therapist
Primary
PT022744
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028404780005
—
PA
01
—
773536
MEDICARE
PA
Enumeration date
06/14/2013
Last updated
03/30/2022
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