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Individual

NIKKI SARAH CORNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
755 N PEACH AVE STE G14, CLOVIS, CA 93611-7264
(559) 433-4700
Mailing address
755 N PEACH AVE STE G14, CLOVIS, CA 93611-7264
(559) 433-4700

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT25933
CA
2251P0200X
Pediatric Physical Therapist
Primary
PT25933
CA

Other

Enumeration date
01/30/2008
Last updated
01/30/2008
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