NICHOLAS DALE POTGIESSER

GLENVIEW, IL
NPI1396356861
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06003315A)
Enumeration Date2020-08-10
Last Update Date2020-08-10
Business Address
NICHOLAS DALE POTGIESSER PTA
2600 COMPASS RD
GLENVIEW, IL 60026-8001
Phone number: 877-787-3422
Mailing Address
NICHOLAS DALE POTGIESSER PTA
59741 WREN LN
SOUTH BEND, IN 46614-4008
Phone number: 574-217-5635
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