SANDRA ANN NICKLES

SAINT LOUIS, MO
NPI1821297664
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MO  2002015956)
Enumeration Date2007-07-12
Last Update Date2007-07-12
Business Address
Mrs. SANDRA ANN NICKLES
7733 FORSYTH BLVD
SAINT LOUIS, MO 63105-1817
Phone number: 866-314-3944
Mailing Address
Mrs. SANDRA ANN NICKLES
1827 HIGHWAY B
ELSBERRY, MO 63343-3126
Phone number: