Individual
JOLEEN PATRICE NICOSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1995 E. CORNELIUS HARNETT BLVD, UNIVERSAL HEALTHCARE OF LILLINGTON, LILLINGTON, NC 27546
(919) 753-3531
Mailing address
6017 HOPE LN, FUQUAY VARINA, NC 27526-9417
(919) 753-3531
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3377
NC
Other
Enumeration date
03/09/2012
Last updated
03/23/2012
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