Individual
NICHOLAS GEOFFREY RAPPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
63 E WHARF RD, MADISON, CT 06443-3115
(203) 640-1065
Mailing address
63 E WHARF RD, MADISON, CT 06443-3115
(203) 640-1065
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
01/30/2019
Last updated
07/30/2021
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