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1790188654
LAURA NICKLIS
AVON, CT
NPI
1790188654
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Former Name
LAURA GALLANT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 8985)
Enumeration Date
2014-10-06
Last Update Date
2019-01-02
Business Address
LAURA NICKLIS DPT
44 DALE RD SUITE 203
AVON, CT 06001-4315
Phone number: 860-674-1713
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Mailing Address
LAURA NICKLIS DPT
47 N MAIN ST
WEST HARTFORD, CT 06107-1926
Phone number: 860-409-4595
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