Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 26480 | FL |
NPI | 1013377282 |
---|---|
Provider Name | Nicole Kuss |
First Address | West Palm Beach, FL 33412-1850 |
Second Address | West Palm Beach, FL 33411-5144 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2016 |
Last Update Date | 02/03/2016 |