PHILLIP NIERSTE

BONITA SPRINGS, FL
NPI1316497886
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA 19346)
Enumeration Date2016-10-09
Last Update Date2016-10-09
Business Address
-- PHILLIP NIERSTE
25778 LAKE AMELIA WAY
BONITA SPRINGS, FL 34135-3814
Phone number: 239-220-9392
Mailing Address
-- PHILLIP NIERSTE
25778 LAKE AMELIA WAY
BONITA SPRINGS, FL 34135-3814
Phone number: 239-220-9392
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