Individual
DR. NICOLE ALISA LUCENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
8008 S JESSE OWENS PKWY, PHOENIX, AZ 85042-6516
(602) 243-2780
Mailing address
8008 S JESSE OWENS PKWY, PHOENIX, AZ 85042-6516
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
32102
AZ
Other
Enumeration date
12/26/2022
Last updated
12/26/2022
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