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Nicole Anna Liotta, PT,DPT

Physical Therapist in East Meadow, NY. Individual provider (NPI-1).

NPI number1164092318
StatusActive
Last updated in NPPESSep 23, 2021

Details

NPI
1164092318
Entity type
Individual (NPI-1)
Name
Nicole Anna Liotta
Credential
PT,DPT
Sex
Female
Sole proprietor
No
Enumeration date
Jun 29, 2021
Certification date
Sep 23, 2021
Last updated
Sep 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist047548-1NYYes
225100000X Physical Therapist––

Practice location

801 Merrick Ave
East Meadow, NY 11554-4748

Phone 516-393-8900

Mailing address

1983 Marcus Ave Ste 119
New Hyde Park, NY 11042-1016

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