Individual
MRS. NICHOLE MARIE ESCALERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3205 WOOD RD, RACINE, WI 53406-5048
(262) 598-9146
(262) 598-1046
Mailing address
3205 WOOD RD, RACINE, WI 53406-5048
(262) 598-9146
(262) 598-1046
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1395-19
WI
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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