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NICHOLAS INTERIAL, PT,DPT,ATC

Physical Therapist

NPI: 1346617628IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical TherapistPrimary

Physical Therapist

Code: 225100000X

070.021600(IL)

Education

OTHER

Class of 2015

Contact & Hours

Address
1225 S OAKWOOD AVE STE 1
GENESEO, IL 61254

Quick Facts

NPI
1346617628
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1

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