Jerry Duane Nickell, P.T.

NPI #1235480948 in Baker City, Oregon

Provider Information

NPI Number
1235480948
Entity Type
Individual
Name
Jerry Duane Nickell, P.T.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
P.T.
Enumeration Date
Sep 21, 2012
Last Updated
Sep 21, 2012

Practice Location

Address
3325 POCAHONTAS RD
State
Oregon
ZIP Code
97814-1464
Phone
(541) 523-8106

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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