Nichole Ekstrom

NPI #1275934069 in Mchenry, Illinois

Provider Information

NPI Number: 1275934069
Entity Type: Individual
Name: Nichole Ekstrom
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Sep 11, 2014
Last Updated: Dec 5, 2015

Practice Location

Address: 1728 N RICHMOND RD
City: Mchenry
State: Illinois
ZIP Code: 60051-5414
Phone: (815) 578-8905

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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