Individual
NICOLE MCCUTCHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 S 171ST ST, OMAHA, NE 68130-2393
(180) 045-6585
Mailing address
HC 69 BOX 3, WEST UNION, WV 26456-8901
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3090
MD
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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