Individual
CAROL VIANO-NITSCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1680 E ROSEVILLE PKWY UNIT 110, ROSEVILLE, CA 95661-3988
(916) 746-3887
Mailing address
9361 LANGDON CT, ELK GROVE, CA 95624-3561
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19838
CA
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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