Individual
ALEXIS NIEVA LLARENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
970 COLONIAL AVE, COLONIAL MANOR NURSING HOME AND REHABILITATION CENTER, YORK, PA 17403-3430
(717) 845-2661
Mailing address
1188 CASPIAN DR, YORK, PA 17404-9061
(717) 764-0171
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008108L
PA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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