Search › Pennsylvania › 174400000X
Jonathan Nidock, LMT
NPI 1558636043 · on the registry since 2012 · sole proprietor
Practice
- Address
- 9 E Moreland Ave
Philadelphia, PA 19118 - Phone
- (267) 254-4712
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-03-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania