Individual
NICOLE SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1975 MAXWELL AVE APT 327, WOODLAND, CA 95776-5180
(989) 992-5327
Mailing address
50 IRON POINT CIR STE 100, FOLSOM, CA 95630-8594
(916) 836-1111
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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