Individual
NICOLA FERNANDO GUALTIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
439 CHANNEL RD STE 102, LAKE WYLIE, SC 29710-6101
(803) 746-7800
(803) 746-7807
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10524
SC
225100000X
Physical Therapist
P20933
NC
225100000X
Physical Therapist
—
—
Other
Enumeration date
12/14/2020
Last updated
10/20/2022
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