Individual
NICOLE RAVELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 571-1210
(727) 573-1958
Mailing address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 571-1210
(727) 573-1958
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT22922
FL
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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