Nicole Dacquisto is a Sports in Atherton, California. Nicole Dacquisto practices all healthcare services and medical treatments related to Sports. The NPI Number for Nicole Dacquisto is 1639299365. The last update date is 2007-07-08.
Nicole Dacquisto's current location address is 3351 El Camino Real, Atherton, California. You can contact this provider via phone number 6503658350 and fax number 6503688353. The mailing address for Nicole Dacquisto is 3351 El Camino Real, Atherton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole Dacquisto |
|---|---|
| Address | 3351 El Camino Real, Atherton, California |
| Phone Number | 6503658350 |
| Fax Number | 6503688353 |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1639299365 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3351 El Camino Real |
|---|---|
| City | Atherton |
| State | California (CA) |
| Post Code | 940273811 |
| Phone Number | 6503658350 |
| Fax Number | 6503688353 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | PT28642 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PT28642 | CA | PT LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Nicole Dacquisto by the Centers for Medicare & Medicaid Services?
The Nicole Dacquisto has been assigned the NPI (National Provider Identifier) 1639299365. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Nicole Dacquisto is physically located?
The Nicole Dacquisto is situated at the following address: 3351 El Camino Real, Atherton, CA 940273811.
What is Nicole Dacquisto's area of expertise and its corresponding taxonomy classification?
The Nicole Dacquisto's field of specialization is Sports, and it falls under the taxonomy code 2251S0007X, which categorizes healthcare providers based on their areas of practice.
When did the Nicole Dacquisto receive its 1639299365?
The Nicole Dacquisto was issued its 1639299365 on 2007-03-29, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Nicole Dacquisto, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Nicole Dacquisto, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.