NICOLE M VIVLAMORE

MARYLAND SPORTSCARE AND REHAB OF

Dr NICOLE M VIVLAMORE is a female medical professional, specializing in Physical Therapy. She graduated in 2012.

Contact

MARYLAND SPORTSCARE AND REHAB OF

2634 BRANDERMILL BLVD
GAMBRILLS
MD
210541651

Tel: 4107217201

NICOLE M VIVLAMORE Information

Npi 1457602567
Pac Id 3678723160
Professional Enrollment Id I20121018000222
Last Name VIVLAMORE
First Name NICOLE
Middle Name M
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MARYLAND SPORTSCARE AND REHAB OF
Group Practice Pac Id 1456358837
Number Of Group Practice Members 6
Line 1 Street Address 2634 BRANDERMILL BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GAMBRILLS
State MD
Zip Code 210541651
Phone Number 4107217201
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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