Individual
NICOLE SUZANNE MORILAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
16455 E AVENUE OF THE FOUNTAINS, FOUNTAIN HILLS, AZ 85268-8307
(480) 837-2023
Mailing address
8501 E VIRGINIA AVE, SCOTTSDALE, AZ 85257-1823
(210) 844-4319
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-009117
AZ
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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