Individual
NICHOLAS QUEIROZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
520 HARTFORD TPKE, VERNON, CT 06066-5037
(860) 870-0760
Mailing address
2 TRAIL RUN APT 8311, VERNON, CT 06066-3992
(860) 816-5827
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15139
CT
225100000X
Physical Therapist
27792
MA
Other
Enumeration date
08/13/2024
Last updated
10/07/2025
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