Individual
MRS. NICOLE ANN SANGUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6180 BROCKTON AVE STE 102, RIVERSIDE, CA 92506-2259
(951) 684-6500
Mailing address
6180 BROCKTON AVE STE 102, RIVERSIDE, CA 92506-2259
(951) 684-6500
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 29379
CA
Other
Enumeration date
03/21/2011
Last updated
09/09/2013
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