Nicole Diane Van Pelt, PT
Physical Therapist in Panama City, FL. Individual provider (NPI-1).
NPI number1760623698
StatusActive
Last updated in NPPESMar 24, 2009
Details
- NPI
- 1760623698
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nicole Diane Van Pelt
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2009
- Last updated
- Mar 24, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT22780 | FL | Yes |
Practice location
807 N Tyndall PkwyPanama City, FL 32404-9495
Phone 850-763-0505 · Fax 850-763-0966
Mailing address
807 N Tyndall PkwyPanama City, FL 32404-9495
Phone 850-763-0505 · Fax 850-763-0966
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