Individual
MR. NICHOLAS KOSTOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
211 S NARCISSUS AVE # MU-1, WEST PALM BEACH, FL 33401-5654
(561) 790-8256
Mailing address
10683 SW CAM RUN, PORT SAINT LUCIE, FL 34987-2351
(716) 903-6636
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
26020
FL
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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