Doctor Name: | NIKKI SERRANO |
NPI Number: | 1134403827 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 028042 |
Business Practice Address: | 3178 Summit Square Dr Apt D8 Oakton, VA - 221242880 |
Business Phone Number: | 5163420907 |
Business Fax Number: | 7033192078 |
Mailing Address: | 3178 Summit Square Dr D8, OAKTON |
State: | VA |
Postal Code: | 221242880 |
Phone Number: | 5163420907 |
Fax Number: | 7033192078 |
NPI Enumeration Date: | 09/29/2011 |
NPI Last Update Date: | 09/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 028042 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |