Nicole Marie Divirgilio, PT

NPI #1063133023 in Patchogue, New York

Provider Information

NPI Number
1063133023
Entity Type
Individual
Name
Nicole Marie Divirgilio, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Sep 8, 2022
Last Updated
Sep 8, 2022

Practice Location

Address
77 ROUTE 112 STE F
ZIP Code
11772-1230
Phone
(631) 207-2370

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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