Individual
NICHOLAS ROTOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
52 LANE ST, SHELTON, CT 06484-5223
(203) 231-8940
Mailing address
52 LANE ST, SHELTON, CT 06484-5223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49409
CA
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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