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NICHOLAS COLLESANO

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Orthopedic

Provider NPI: 1922510759

Provider Information:
 NICHOLAS  COLLESANO 
Gender: M
Not Sole Proprietor

Practice Location:
620 BEDFORD ST  BRIDGEWATER, MA 02324-3180 US
Tel: 508-279-0033  Fax: 508-279-0030

Business Mailing Address:
13616 CALIFORNIA ST STE 100 OMAHA, NE 68154-5336 US
Tel: 402-496-0404  Fax: --

NPI Information:
NPI: 1922510759
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
Orthopedic
MA23344

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 2251X0800X

Type:

Classification:



Definition:



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