Individual
NICOLE DAWN KASSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
343 E HEALD ST, SHERIDAN, WY 82801-5225
(812) 345-0071
Mailing address
343 E HEALD ST, SHERIDAN, WY 82801-5225
(812) 345-0071
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1364
WY
Other
Enumeration date
11/19/2013
Last updated
01/05/2014
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