Individual
DR. NICHOLAS COSTAS PROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., D.P.T.
Contact information
Practice address
1700 E BULLARD AVE, SUITE #102, FRESNO, CA 93710-5866
(559) 438-8531
Mailing address
1700 E BULLARD AVE, SUITE #102, FRESNO, CA 93710-5866
(559) 438-8531
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
43401
CA
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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