Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Lynn Vergara

Individual provider Physical Therapist · NPI 1417354309

Nicole Lynn Vergara is a Physical Therapist in Palos Verdes Estates, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
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Practice location Address checks out

2232 Via Acalones
Palos Verdes Estates, CA 90274-1647
Phone: (310) 809-8352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 17418 (CA)

Record details

NPI number1417354309
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 20, 2014
Last updated in NPPESNovember 16, 2015

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