| Doctor Name: | ALLISON NICOLA |
| NPI Number: | 1174801591 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | # 95-1647832 |
| Business Practice Address: | 1239 E Main St Bartow, FL - 338305058 |
| Business Phone Number: | 8635190575 |
| Business Fax Number: | 8635829251 |
| Mailing Address: | Po Box 1559, BARTOW |
| State: | FL |
| Postal Code: | 338311559 |
| Phone Number: | 8635190575 |
| Fax Number: | |
| NPI Enumeration Date: | 08/02/2011 |
| NPI Last Update Date: | 01/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225400000X |
| License Number: | # 95-1647832 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Rehabilitation Practitioner |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |