Individual
NICHOLAS DELUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
737 S WILDHORSE DR, NEW CASTLE, CO 81647
(410) 443-8561
Mailing address
737 S WILDHORSE DR, NEW CASTLE, CO 81647
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5711
MD
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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