Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE LYNN VERGARA
Active Sole ProprietorNICOLE LYNN VERGARA is a Physical Therapy Assistant healthcare provider located in PALOS VERDES ESTATES, California. NPI 1417354309 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PALOS VERDES ESTATES, CA
Registration Details
- NPI Number
- 1417354309
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 20, 2014 (11.550757564137 yrs)
- Last Updated
- Nov 16, 2015
- License
-
PT 17418 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2232 VIA ACALONESPALOS VERDES ESTATES, CA, 902741647Browse CA providers · Browse ZIP 90274
- Phone
- 3108098352
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PALOS VERDES ESTATES, CA
| Name | Credential | NPI |
|---|---|---|
| MS. JO-ANN PORTANOVA | — | 1750425260 |
| KRISTINE KIVULS | DPT | 1528706496 |
| CARLY PATRICIA DILLER | — | 1932061165 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.