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Individual

MRS. NICOLE JENNIFER REA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
1187 COAST VILLAGE RD, STE 8, MONTECITO, CA 93108-2762
(805) 565-5670
(805) 565-5690
Mailing address
1187 COAST VILLAGE RD, STE 8, MONTECITO, CA 93108-2762
(805) 565-5670
(805) 565-5690

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT27082
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT27082
STATE LICENSE NUMBER
CA
Enumeration date
07/10/2006
Last updated
02/11/2022
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