SUSAN ANNETTE NICKELSON

YAKIMA, WA
NPI1952070245
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WA  P160975894)
Enumeration Date2021-09-09
Last Update Date2021-09-09
Business Address
SUSAN ANNETTE NICKELSON PTA
3901 KERN WAY STE 102
YAKIMA, WA 98902-7804
Phone number: 509-895-7449
Mailing Address
SUSAN ANNETTE NICKELSON PTA
3901 KERN WAY STE 102
YAKIMA, WA 98902-7804
Phone number: 509-895-7449
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