| NPI | 1619643251 |
|---|---|
| Former Name | NICOLE LEIGH EBEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 20669) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 10832) |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2025-09-29 |