Individual
NICHOLAS KIETZMAN-GREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
253 N SANTA ANITA AVE, ARCADIA, CA 91006
(626) 294-0070
Mailing address
253 N SANTA ANITA AVE, ARCADIA, CA 91006-3114
(626) 294-0070
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
294911
CA
Other
Enumeration date
06/22/2018
Last updated
08/06/2018
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