Individual
SALVATORE LOUIS NICOSIA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 PEPPER RIDGE DR, SPRING MILLS, PA 16875-9339
(814) 876-0390
Mailing address
202 PEPPER RIDGE DR, SPRING MILLS, PA 16875-9339
(814) 876-0390
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/21/2019
Last updated
12/21/2019
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