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1649005943
NICHOLAS THOR
MILWAUKEE, WI
NPI
1649005943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 16960-24)
Enumeration Date
2024-09-05
Last Update Date
2024-11-04
Business Address
NICHOLAS THOR DPT
5818 W CAPITOL DR
MILWAUKEE, WI 53216-2247
Phone number: 414-219-3063
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Mailing Address
NICHOLAS THOR DPT
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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