SUZANNE M NICKELS

SAINT LOUIS, MO
NPI1598963720
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  116415)
Enumeration Date2007-07-10
Last Update Date2007-07-10
Business Address
-- SUZANNE M NICKELS PTA
12509 VILLAGE CIRCLE DR
SAINT LOUIS, MO 63127-1701
Phone number: 314-270-7790
Mailing Address
-- SUZANNE M NICKELS PTA
723 SAINT JOSEPH RIDGE CT
SAINT LOUIS, MO 63129-7107
Phone number: 314-845-0332
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