Individual
NICOLLE H SHANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5501 N ORACLE RD, SUITE 101, TUCSON, AZ 85704-3829
(520) 293-5551
(520) 747-1633
Mailing address
5501 N ORACLE RD, SUITE 101, TUCSON, AZ 85704-3829
(520) 293-5551
(520) 747-1633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4122
AZ
225100000X
Physical Therapist
4972
OR
Other
Enumeration date
07/17/2006
Last updated
04/25/2008
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