Nicole Bakos, PTA

NPI #1033495700 in Morgantown, West Virginia

Provider Information

NPI Number: 1033495700
Entity Type: Individual
Name: Nicole Bakos, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 26, 2011
Last Updated: Oct 26, 2011

Practice Location

Address: 170 LAKEVIEW DR
Address 2: SUITE 2
City: Morgantown
State: West Virginia
ZIP Code: 26508-9284
Phone: (304) 594-1545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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