Individual
NICOLAS CARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 E SKY HARBOR CIR N BLDG 2, PHOENIX, AZ 85034-3407
(602) 244-9500
Mailing address
11271 N 131ST PL, SCOTTSDALE, AZ 85259-4478
(480) 619-2918
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-033618
AZ
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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