Individual
NICHOLAS RECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7 IVY HOLLOW CT, CRANSTON, RI 02921-1233
(401) 442-8740
Mailing address
7 IVY HOLLOW CT, CRANSTON, RI 02921-1233
(401) 442-8740
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000040610
RI
Other
Enumeration date
01/03/2021
Last updated
01/03/2021
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