Individual
MR. NICHOLAS EVAN SALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Contact information
Practice address
26 WADE TER, BRIDGEPORT, CT 06604-1806
(603) 438-1622
Mailing address
26 WADE TER, BRIDGEPORT, CT 06604-1806
(603) 438-1622
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2255A2300X
Athletic Trainer
000643
CT
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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