Individual
ANTHONY NICOLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
201 ARCH ST, REDWOOD CITY, CA 94062-1305
(408) 838-3858
(650) 568-9053
Mailing address
201 ARCH ST, REDWOOD CITY, CA 94062-1305
(408) 838-3858
(650) 568-9053
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT17716
CA
Other
Enumeration date
06/03/2006
Last updated
01/31/2008
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