Individual
NICHOLE A MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11000 OPTUM CIR, EDEN PRAIRIE, MN 55344-2503
(952) 205-3262
Mailing address
11000 OPTUM CIR, EDEN PRAIRIE, MN 55344-2503
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070014032
IL
Other
Enumeration date
09/28/2006
Last updated
12/11/2017
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