Individual
MRS. NICOLE ANN GARIGLIETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1830 S 44TH ST, DECATUR, IL 62521-5147
(217) 423-2784
(217) 423-2793
Mailing address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-2600
(217) 876-2615
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.003687
IL
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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