EDWARD SCOTT NICKLAS

LONGVIEW, TX
NPI1588330666
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1351611)
Enumeration Date2021-08-19
Last Update Date2021-08-19
Business Address
Dr. EDWARD SCOTT NICKLAS DPT
1111 N 6TH ST
LONGVIEW, TX 75601-5537
Phone number: 903-522-4111
Mailing Address
Dr. EDWARD SCOTT NICKLAS DPT
4350 OLD OMEN RD APT 7305
TYLER, TX 75707-2546
Phone number: 336-769-6162
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