NPI 1164661088

Nicole Lynn Thibodeau

Practitioner Physical Therapy Assistant Macomb, MI

Practice location

Address: 47295 Napoli Ln, Macomb, MI 48044-2672
Phone: (586) 268-0163

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

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Registry record

NPI: 1164661088
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Feb 2009
Record last updated: 17 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.