Individual
NICOLE GALAKTIANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
825 S 94TH ST, CHANDLER, AZ 85224-6281
(480) 630-3676
Mailing address
825 S 94TH ST, CHANDLER, AZ 85224-6281
(480) 630-3676
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11301A
AZ
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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