Nicholas Interial, PT,DPT,ATC

NPI #1346617628 in Geneseo, Illinois

Provider Information

NPI Number: 1346617628
Entity Type: Individual
Name: Nicholas Interial, PT,DPT,ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT,DPT,ATC
Enumeration Date: Aug 21, 2015
Last Updated: May 16, 2024

Practice Location

Address: 1225 S OAKWOOD AVE STE 1
City: Geneseo
State: Illinois
ZIP Code: 61254-1990
Phone: (309) 944-6447

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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