NPI 1508118779

Nicole Kovacic

Practitioner Physical Therapy Assistant Fairview Heights, IL

Practice location

Address: 5501 Perrin Drive, Fairview Heights, IL 62208
Phone: (618) 530-2769

Registered specialties

Physical Therapy Assistant Primary

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

Other Physical Therapy Assistant providers in Illinois →

Registry record

NPI: 1508118779
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Oct 2012
Record last updated: 11 Oct 2012

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.