Nicholas Backes, PTA
NPI #1194521674 in Montclair, California
Provider Information
- NPI Number
- 1194521674
- Entity Type
- Individual
- Name
- Nicholas Backes, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Feb 24, 2025
- Last Updated
- Feb 24, 2025
Practice Location
- Address
- 4959 PALO VERDE ST STE 109C
- City
- Montclair
- State
- California
- ZIP Code
- 91763-2358
- Phone
- (909) 971-3092
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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