MRS. Nicole Elaine Owen, PTA

NPI #1780072694 in Cameron, Missouri

Provider Information

NPI Number
1780072694
Entity Type
Individual
Name
MRS. Nicole Elaine Owen, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Dec 30, 2014
Last Updated
Dec 30, 2014

Practice Location

Address
801 EUCLID AVE
ZIP Code
64429-2003
Phone
(816) 632-7254

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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