Individual
NICOLE VARICHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 COBBLESTONE LN, BURNSVILLE, MN 55337-4578
(952) 460-4960
Mailing address
10565 PENN AVE S, BLOOMINGTON, MN 55431-3443
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
12553
MN
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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