Individual
DR. NICHOLAS ANTHONY MOUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
ONE EDMUNDSON PLACE, SUITE 500, COUNCIL BLUFFS, IA 51503-4619
(712) 388-0173
Mailing address
1 EDMUNDSON PL STE 500, COUNCIL BLUFFS, IA 51503-4619
(712) 388-0173
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
004196
IA
2251X0800X
Orthopedic Physical Therapist
2408
NE
Other
Enumeration date
02/28/2008
Last updated
10/08/2008
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