Individual
JUSTIN ROBERT NICOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3545 HIGHWAY 61 N, VADNAIS HEIGHTS, MN 55110-5223
(651) 439-8807
(651) 439-0232
Mailing address
3545 HIGHWAY 61 N, VADNAIS HEIGHTS, MN 55110-5223
(651) 439-8807
(651) 439-0232
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9564
MN
Other
Enumeration date
02/17/2015
Last updated
11/05/2020
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