Individual
JO-ANN GONZALES NICOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT ASSISSTANT
Contact information
Practice address
5300 WOODMERE DR STE 105, BAKERSFIELD, CA 93313-2797
(213) 550-9296
Mailing address
6602 RUTLAND WAY, BAKERSFIELD, CA 93307-8821
(213) 550-9296
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT8586
CA
Other
Enumeration date
03/19/2016
Last updated
03/19/2016
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