Most Relevant Information
Provider Data
| NPI Number: | 1003217324 |
| Provider Name: | NICHOLAS MIANO PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA00993 |
Most Important Dates
| Enumeration Date: | 09/05/2014 |
| Last Updated: | 09/05/2014 |
Provider Practice Location
129 WINTERBERRY RD
SAUNDERSTOWN
RI
028742438
Practice Location Phone/Fax
| Phone: | 4019321603 |
| Fax: |
Provider Mailing Location
129 WINTERBERRY RD
SAUNDERSTOWN
RI
028742438
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |