Individual
MRS. DEBRA ANN NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1127 TIMBER RUN DR, SAINT LOUIS, MO 63146-4482
(314) 434-8361
Mailing address
1216 GRAND CANYON DR, WENTZVILLE, MO 63385-3465
(636) 357-8515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
108641
MO
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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