Individual
NICOLE DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1234 SUMMER ST, STAMFORD, CT 06905-5558
(203) 359-8326
Mailing address
1234 SUMMER ST, STAMFORD, CT 06905-5558
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10661
CT
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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