MRS. Nicolle Lenna Gleason, DPT

NPI #1871851634 in Nampa, Idaho

Provider Information

NPI Number: 1871851634
Entity Type: Individual
Name: MRS. Nicolle Lenna Gleason, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Apr 30, 2012
Last Updated: Apr 30, 2012

Practice Location

Address: 5640 E FRANKLIN RD # B
City: Nampa
State: Idaho
ZIP Code: 83687-8402
Phone: (208) 484-4640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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