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Individual

NICHOLE LYNN RAUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12509 VILLAGE CIRCLE DR, SAINT LOUIS, MO 63127-1701
(314) 270-7790
(314) 849-2045
Mailing address
131 PARK AVE, KIRKWOOD, MO 63122-4513

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
117308
MO

Other

Enumeration date
08/08/2007
Last updated
08/08/2007
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