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Nicole Dacquisto, PT
Sports Physical Therapist in Atherton, California
NPI 1639299365

Nicole Dacquisto is a Sports Physical Therapist based in Atherton, CA and is specialized in Sports. Nicole Dacquisto practices in Atherton, CA and has the professional credentials of PT. The NPI Number for Nicole Dacquisto is 1639299365 and holds a License No. PT28642 (California).

The current practice location address for Nicole Dacquisto is 3351 El Camino Real, Atherton, CA and can be reached out via phone at 650-365-8350 and via fax at 650-368-8353.

Location: 3351 El Camino Real, Atherton, CA, 94027-3811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639299365
Provider Name
Nicole Dacquisto
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
3351 El Camino Real, Atherton, CA, 94027-3811
Phone Number
650-365-8350
Fax Number
650-368-8353
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PT28642 01 CA PT LICENSE
institution
Provider Business Practice Location Address Details
Address
3351 El Camino Real
City
Atherton
State
California
Zip
94027-3811
Phone Number
650-365-8350
Fax Number
650-368-8353
person
Provider Business Mailing Address Details
Address
3351 El Camino Real
City
Atherton
State
California
Zip
94027-3811
Phone Number
650-365-8350
Fax Number
650-368-8353
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Sports
Taxonomy
2251S0007X
License No.
PT28642 (California)
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, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
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