Nicole Spears, PT, DPT
Physical Therapist in Raleigh, NC. Individual provider (NPI-1).
NPI number1942021811
StatusActive
Last updated in NPPESOct 22, 2024
Details
- NPI
- 1942021811
- Entity type
- Individual (NPI-1)
- Name
- Nicole Spears
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2024
- Certification date
- Oct 22, 2024
- Last updated
- Oct 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 17228 | NC | Yes |
Other names
- Nicole Simyak (Former Name)
Practice location
2722 Spring Forest RdRaleigh, NC 27616-1977
Phone 919-863-7770
Mailing address
110 Prides CrsgRolesville, NC 27571-9739
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