Individual
NOLA NISBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4200 WASHINGTON ST, HOLLYWOOD, FL 33021-7353
(954) 894-3124
(954) 894-3125
Mailing address
19625 NW 32ND CT, MIAMI GARDENS, FL 33056-2307
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA11451
FL
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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