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1124670211
NICOLE SHIVELY
DALLAS, TX
NPI
1124670211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2019-07-10
Last Update Date
2019-07-10
Business Address
NICOLE SHIVELY DPT, PT
4347 W NORTHWEST HWY STE 180
DALLAS, TX 75220-3863
Phone number: 214-654-0947
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Mailing Address
NICOLE SHIVELY DPT, PT
9105 TIDBALL DR
FORT WORTH, TX 76244-7618
Phone number: 518-944-6582
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