Individual
MRS. CORINNE CARNEVALE NIKITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
11930 BOYETTE RD, RIVERVIEW, FL 33569-5601
(813) 671-1022
Mailing address
3134 W FIELDER ST, TAMPA, FL 33611-2910
(813) 835-1652
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 20663
FL
Other
Enumeration date
08/01/2006
Last updated
01/06/2010
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