Individual
NICHOLAS VINCENT PISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA/RD
Contact information
Practice address
5301 CREEDMOOR RD, RALEIGH, NC 27612-3822
(919) 615-1658
(866) 314-8247
Mailing address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(919) 424-5080
(919) 424-4310
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6141
NC
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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