Individual
MR. MICHAEL A NULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01641
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22765-2
BC/BS OF RI
RI
01
—
408470
BLUE CHIP OF RI
RI
01
—
7998330
AETNA
—
Enumeration date
08/02/2006
Last updated
07/08/2007
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