Individual
NICOLE SCHOUTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
415 E AVENIDA PICO STE M, SAN CLEMENTE, CA 92672-3800
(949) 245-6581
Mailing address
14552 HIGHCREST CIR, IRVINE, CA 92604-2437
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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