Individual
DR. NICHOLAS METAXAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
22 MASONIC AVE, WALLINGFORD, CT 06492-3048
(203) 641-9684
Mailing address
50 KIM LN, MERIDEN, CT 06450-6927
(203) 641-9684
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12790
CT
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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