TERESA MOORE NICCUM

MILWAUKIE, OR
NPI1427194182
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT17997)
Enumeration Date2007-01-29
Last Update Date2007-07-08
Business Address
-- TERESA MOORE NICCUM PT
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5129
Mailing Address
-- TERESA MOORE NICCUM PT
286 OCEAN AVE
MONTEREY, CA 93940
Phone number: 831-229-3022
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