Individual
NICOLE-HA VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20823 STEVENS CREEK BLVD STE 200, CUPERTINO, CA 95014-2112
(408) 252-6076
(408) 252-1159
Mailing address
3209 MAPLE LN, HARRISBURG, PA 17110-9341
(717) 623-4929
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
294559
CA
Other
Enumeration date
08/30/2017
Last updated
01/03/2022
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