Individual
DR. BRUCE MICHAEL NICOARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
11808 KINGSTON PIKE, SUITE 185, KNOXVILLE, TN 37934-3803
(865) 675-2820
(865) 675-2821
Mailing address
PO BOX 441146, KENNESAW, GA 30160-9522
(678) 403-3632
(678) 567-6737
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
7915
TN
Other
Enumeration date
09/26/2007
Last updated
04/21/2017
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