Individual
MR. VINCENT C NITTOLI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
7802 HAGUE RD, LAWRENCE NORTH HIGH SCHOOL, INDIANAPOLIS, IN 46256-1754
(317) 964-7730
Mailing address
10166 PAMONA CT, FISHERS, IN 46038-5515
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000191A
IN
Other
Enumeration date
02/10/2006
Last updated
07/08/2007
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