SUSAN NICKLIN

MEDFORD, OR
NPI1790814200
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: OR  3217)
Enumeration Date2007-03-02
Last Update Date2007-07-08
Business Address
-- SUSAN NICKLIN PT
945 S RIVERSIDE AVE
MEDFORD, OR 97501-7841
Phone number: 541-789-5252
Mailing Address
-- SUSAN NICKLIN PT
100 E MAIN ST SUITE C
MEDFORD, OR 97501-6041
Phone number: 541-789-5526
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