Individual
KIM JANETTE NICOLETTI
Active
Individual
KIM JANETTE NICOLETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004129
CT
225100000X
Physical Therapist
008973
NY
225100000X
Physical Therapist
1254899
TX
225100000X
Physical Therapist
Primary
13649
AZ
Other
Enumeration date
02/06/2006
Last updated
07/30/2021
Update your record
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