Nicole Kovacic
NPI #1508118779 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1508118779
- Entity Type
- Individual
- Name
- Nicole Kovacic
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Oct 11, 2012
- Last Updated
- Oct 11, 2012
Practice Location
- Address
- 5501 PERRIN DRIVE
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208
- Phone
- (618) 530-2769
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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