COREY PHILLIPS NICKERSON

SAN ANTONIO, TX
NPI1508419219
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1322584)
Enumeration Date2019-07-22
Last Update Date2023-08-31
Business Address
COREY PHILLIPS NICKERSON
1100 WILFORD HALL LOOP, JBSA LACKLAND AFB
SAN ANTONIO, TX 78236
Phone number: 210-292-5034
Mailing Address
COREY PHILLIPS NICKERSON
1100 WILFORD HALL LOOP, JBSA LACKLAND AFB
SAN ANTONIO, TX 78236
Phone number: