Individual
NIKOLAS DEWINNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
65 E WADSWORTH PARK DR STE 230, DRAPER, UT 84020-8096
(385) 308-8034
Mailing address
200 E DEL MAR BLVD STE 302, PASADENA, CA 91105-2552
(626) 683-8536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
299836
CA
Other
Enumeration date
02/05/2021
Last updated
01/11/2024
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