Individual
NICOLE CHRISTINE RAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
106 ROUTE 66, COLUMBIA, CT 06237-1136
(860) 228-0194
Mailing address
106 ROUTE 66, COLUMBIA, CT 06237-1136
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11661
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11661
PT, DPT
CT
Enumeration date
11/06/2017
Last updated
08/14/2020
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