Individual
DR. NICHOLAS TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9811 MAGNOLIA VIEW CT APT 202, RIVERVIEW, FL 33578-4651
(401) 688-6431
Mailing address
9811 MAGNOLIA VIEW CT APT 202, RIVERVIEW, FL 33578-4651
(401) 688-6431
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2021006277
MO
Other
Enumeration date
05/20/2021
Last updated
07/31/2023
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