Individual
NICOLE SURDYKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
765 N 114TH AVE STE 101, AVONDALE, AZ 85323-5003
(602) 933-7778
Mailing address
2108 E THOMAS RD, PHOENIX, AZ 85016-7761
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
43065
CA
225100000X
Physical Therapist
Primary
LPT-033823
AZ
Other
Enumeration date
10/25/2016
Last updated
09/27/2024
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