NICKOLE LEE HACKLE

LAKE WALES, FL
NPI1255972550
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA28141)
Enumeration Date2019-10-08
Last Update Date2019-10-08
Business Address
NICKOLE LEE HACKLE PTA
10 W GROVE AVE
LAKE WALES, FL 33853-4516
Phone number: 863-412-1611
Mailing Address
NICKOLE LEE HACKLE PTA
10 W GROVE AVE
LAKE WALES, FL 33853-4516
Phone number: 863-412-1611