Individual
MRS. NICOLE LEONIE FAINSAN
Active
Individual
MRS. NICOLE LEONIE FAINSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
9722
CO
2251P0200X
Pediatric Physical Therapist
Primary
2305207613
VA
Other
Enumeration date
04/09/2008
Last updated
03/06/2013
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