Individual
NICOLE L SPAULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2680 S VAL VISTA DR STE 106, GILBERT, AZ 85295-1606
(480) 892-7986
Mailing address
2680 S VAL VISTA DR STE 106, GILBERT, AZ 85295-1606
(480) 892-7986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8229
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
393627
—
AZ
Enumeration date
10/06/2008
Last updated
07/15/2014
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