Mrs. Nicole Ann Sanguino
Physical Therapist - Pediatrics
6180 Brockton Ave Ste 102
Riverside
, California 92506-2259
Mrs. Nicole Ann Sanguino
Physical Therapist - Pediatrics
6180 Brockton Ave Ste 102
Riverside
, California 92506-2259
(951) 684-6500
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Nicole Ann Sanguino
- 6180 Brockton Ave Ste 102
- Riverside, CA
- Zip : 92506-2259
- Phone : (951) 684-6500
Second Address
- Mrs. Nicole Ann Sanguino
- 6180 Brockton Ave Ste 102
- Riverside, CA
- Zip : 92506-2259
- Phone : (951) 684-6500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | PT 29379 | CA |
National Provider Identifier
| NPI | 1033418744 |
|---|---|
| Provider Name | Mrs. Nicole Ann Sanguino |
| First Address | Riverside, CA 92506-2259 |
| Second Address | Riverside, CA 92506-2259 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/03/2011 |
| Last Update Date | 09/09/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.