NICOLE SUSETTE MOLDENHAUER

SUPERIOR, WI
NPI1700451473
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  3163-19)
Enumeration Date2021-05-25
Last Update Date2021-05-25
Business Address
NICOLE SUSETTE MOLDENHAUER PTA
1800 NEW YORK AVE
SUPERIOR, WI 54880-2008
Phone number: 651-380-4866
Mailing Address
NICOLE SUSETTE MOLDENHAUER PTA
5904 BUTLER AVE
SUPERIOR, WI 54880-7413
Phone number: 651-380-4866
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