DONNA JEAN NUCKOLS

MARION, IN
NPI1972760080
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06002184A)
Enumeration Date2008-05-18
Last Update Date2008-05-18
Business Address
Mrs. DONNA JEAN NUCKOLS PTA
1800 N WABASH RD
MARION, IN 46952-1300
Phone number: 765-651-3229
Mailing Address
Mrs. DONNA JEAN NUCKOLS PTA
3430 W. 600 S.
PORTLAND, IN 47371
Phone number: 260-726-5750
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