Nikki Ilustre, PT
Physical Therapist in Cherry Hill, NJ. Individual provider (NPI-1).
NPI number1053802017
StatusActive
Last updated in NPPESJun 15, 2018
Details
- NPI
- 1053802017
- Entity type
- Individual (NPI-1)
- Name
- Nikki Ilustre
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 25, 2018
- Last updated
- Jun 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 11863 | CT | Yes |
Practice location
7 Carnegie PlzCherry Hill, NJ 08003-1000
Phone 877-407-3422 · Fax 877-407-4329
Mailing address
7 Carnegie PlzCherry Hill, NJ 08003-1000
Phone 877-407-3422 · Fax 877-407-4329
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