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Nicholas Geoffrey Rapport

Physical Therapist in Madison, CT. Individual provider (NPI-1).

NPI number1730643164
StatusActive
Last updated in NPPESJul 30, 2021

Details

NPI
1730643164
Entity type
Individual (NPI-1)
Name
Nicholas Geoffrey Rapport
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 30, 2019
Certification date
Jul 30, 2021
Last updated
Jul 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes
2255A2300X Specialist/Technologist, Athletic Trainer––

Practice location

63 E Wharf Rd
Madison, CT 06443-3115

Phone 203-640-1065

Mailing address

63 E Wharf Rd
Madison, CT 06443-3115

Phone 203-640-1065

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