Individual
NICOLE SOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
920 AVENUE B, MARRERO, LA 70072-3112
(504) 340-1100
Mailing address
50 PARK TIMBERS CT, NEW ORLEANS, LA 70131-8600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A10122R
LA
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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