Individual
NICOLE HRANCHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7000
Mailing address
530 S 21ST ST, TERRE HAUTE, IN 47803-2532
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013531A
IN
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9370380560
DRIVER'S LICENSE
IN
Enumeration date
08/26/2019
Last updated
03/08/2022
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