Individual
NICOLE K CLEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13638 2ND AVE NE, BRADENTON, FL 34212-2725
(941) 228-6734
(941) 343-9402
Mailing address
PO BOX 50681, SARASOTA, FL 34232-0305
(941) 228-6734
(941) 343-9402
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA18759
FL
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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