Individual
TIMOTHY JOHN NIKOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, ATC
Contact information
Practice address
79 N STURBRIDGE RD, CHARLTON, MA 01507-1239
(207) 232-8842
Mailing address
79 N STURBRIDGE RD, CHARLTON, MA 01507-1239
(207) 232-8842
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2349708
MA
2255A2300X
Athletic Trainer
Primary
2708
MA
Other
Enumeration date
07/21/2014
Last updated
12/29/2024
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