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NPI Code Detail

MEDICARE: MR. NICHOLAS DELLICOLLI P.T.

MEDICARE:  MR. NICHOLAS  DELLICOLLI  P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist3057NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255341103
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. NICHOLAS DELLICOLLI P.T.
Provider Business Mailing Address
First Line : 501 SOUTH ST
Second Line :
City : BOW
State : NH
Zip : 03304-3416
Country : US
Telephone Number : 603-224-5883
Fax Number : 603-224-6042
Provider Business Practice Location Address
First Line : 501 SOUTH ST
Second Line :
City : BOW
State : NH
Zip : 03304-3416
Country : US
Telephone Number : 603-224-5883
Fax Number : 603-224-6042
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 02/26/2013

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Directions to “ MR. NICHOLAS DELLICOLLI P.T.” Practice Location

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