Nichole Dearborn, PTA

NPI #1114129475 in Vincennes, Indiana

Provider Information

NPI Number: 1114129475
Entity Type: Individual
Name: Nichole Dearborn, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 31, 2007
Last Updated: Jul 13, 2012

Practice Location

Address: 3801 OLD BRUCEVILLE RD
City: Vincennes
State: Indiana
ZIP Code: 47591-3889
Phone: (812) 886-4677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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