Nicole Tennant, PTA

NPI #1841699741 in El Centro, California

Provider Information

NPI Number: 1841699741
Entity Type: Individual
Name: Nicole Tennant, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 15, 2014
Last Updated: Mar 3, 2021

Practice Location

Address: 2610 THOMAS DR
City: El Centro
State: California
ZIP Code: 92243-7512
Phone: (484) 764-4529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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