Nieves Daclison, RPT
Physical Therapist in West Covina, CA. Individual provider (NPI-1).
NPI number1124223813
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124223813
- Entity type
- Individual (NPI-1)
- Name
- Nieves Daclison
- Credential
- RPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 20, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT17518 | CA | Yes |
Practice location
2443 Pauline StWest Covina, CA 91792-2613
Phone 626-757-6775
Mailing address
2443 Pauline StWest Covina, CA 91792-2613
Phone 626-757-6775
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