Nicolas Civale
Physical Therapist in Irving, TX. Individual provider (NPI-1).
NPI number1356808463
StatusActive
Last updated in NPPESFeb 25, 2019
Details
- NPI
- 1356808463
- Entity type
- Individual (NPI-1)
- Name
- Nicolas Civale
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 25, 2019
- Last updated
- Feb 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 011659 | CT | Yes |
Practice location
5001 Statesman DrIrving, TX 75063-2414
Phone 469-524-1506
Mailing address
129 Greenwoods LnEast Windsor, CT 06088-9692
Phone 860-372-8013
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