Individual
NICHOLAS IENNI
Active
Individual
NICHOLAS IENNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
31586
AZ
225100000X
Physical Therapist
Primary
3366
NV
225100000X
Physical Therapist
PT2023-2062
NM
Other
Enumeration date
07/11/2016
Last updated
03/21/2023
Update your record
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