Individual
MR. MICHAEL W. NIDEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
800 FALMOUTH RD, SUITE 103C SUMMERFIELD PARK, MASHPEE, MA 02649-3303
(508) 477-4800
(508) 477-5377
Mailing address
180 CASTLEWOOD CIR, HYANNIS, MA 02601-2134
(508) 778-1754
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2406
MA
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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