Individual
NICOLE DECRISTOFORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
73 VALLEY RD, MIDDLETOWN, RI 02842-5234
(401) 433-4172
(014) 330-6124
Mailing address
7625 MESA COLLEGE DR STE 101A, SAN DIEGO, CA 92111-5343
(858) 277-1586
(858) 277-1828
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT02823
RI
225100000X
Physical Therapist
PT299778
CA
Other
Enumeration date
09/28/2015
Last updated
05/31/2023
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