Individual
IAN CHRISTOPHER NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
9398 VERCELLI ST, LAKE WORTH, FL 33467-5212
(609) 310-8311
Mailing address
9398 VERCELLI ST, LAKE WORTH, FL 33467-5212
(609) 310-8311
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
32182
FL
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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