Individual
NICKOLE LEE CORATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10 W GROVE AVE, LAKE WALES, FL 33853-4516
(863) 412-1611
Mailing address
10 W GROVE AVE, LAKE WALES, FL 33853-4516
(863) 632-3793
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28141
FL
Other
Enumeration date
10/08/2019
Last updated
03/23/2026
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