NICOLE MAE WOODARD

TERRE HAUTE, IN
NPI1326318296
Former NameNICOLE MAE GRIMM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070017864)
Enumeration Date2012-01-09
Last Update Date2012-01-09
Business Address
-- NICOLE MAE WOODARD DPT
567 N 5TH ST SS172
TERRE HAUTE, IN 47809-1903
Phone number: 812-237-9613
Mailing Address
-- NICOLE MAE WOODARD DPT
310 E LAMOTTE ST
PALESTINE, IL 62451-1328
Phone number: 618-586-4001
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