MRS. Nicole Penwell Mincher, LPTA
NPI #1114228079 in Gloucester, Virginia
Provider Information
- NPI Number
- 1114228079
- Entity Type
- Individual
- Name
- MRS. Nicole Penwell Mincher, LPTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- LPTA
- Enumeration Date
- Nov 9, 2010
- Last Updated
- Nov 9, 2010
Practice Location
- Address
- 6707 LAKE VIEW DR
- City
- Gloucester
- State
- Virginia
- ZIP Code
- 23061-2839
- Phone
- (804) 824-8471
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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