Provider Demographics
NPI:1013185917
Name:FIGARO, NICOLLE KATHRYN (ATC)
Entity Type:Individual
Prefix:MS
First Name:NICOLLE
Middle Name:KATHRYN
Last Name:FIGARO
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1403 CAMP AVE
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-4803
Mailing Address - Country:US
Mailing Address - Phone:732-259-2452
Mailing Address - Fax:
Practice Address - Street 1:125 NORTH HOPE CHAPEL ROAD
Practice Address - Street 2:JACKSON LIBERTY HIGH SCHOOL
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527
Practice Address - Country:US
Practice Address - Phone:732-259-2452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer