Individual
NICOLE MARIE FAITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10300 4TH ST N, SAINT PETERSBURG, FL 33716-3813
(727) 568-1000
Mailing address
5211 42ND AVE N, SAINT PETERSBURG, FL 33709-5721
(727) 459-0564
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA24165
FL
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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