Tamara A Nicksic, PT

NPI #1649479544 in Saint John, Indiana

Provider Information

NPI Number: 1649479544
Entity Type: Individual
Name: Tamara A Nicksic, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 12, 2007
Last Updated: Nov 8, 2018

Practice Location

Address: 8259 WICKER AVE
City: Saint John
State: Indiana
ZIP Code: 46373-8878
Phone: (219) 365-6560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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