SALLY TERESA VICKERY

SIOUX CITY, IA
NPI1821505124
Former NameSALLY TERESA KUCERA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IA  001498)
Enumeration Date2018-01-08
Last Update Date2018-01-08
Business Address
SALLY TERESA VICKERY PTA
2524 GLENN AVE
SIOUX CITY, IA 51106-2768
Phone number: 712-226-2253
Mailing Address
SALLY TERESA VICKERY PTA
2514 CANTERBURY RD
SERGEANT BLUFF, IA 51054-9766
Phone number: 712-251-7029
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