Individual
KRISTINA NICOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 NEWBURY ST, DANVERS, MA 01923-5223
(978) 604-5772
Mailing address
176 FRANKLIN ST, LYNN, MA 01904-3230
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922174226
—
MA
Enumeration date
07/14/2021
Last updated
07/14/2021
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