Individual
MRS. KARIN LEE NICOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4460 S NOLAND RD, INDEPENDENCE, MO 64055-4743
(816) 373-2845
Mailing address
2512 SE KIMBROUGH CT, LEES SUMMIT, MO 64063-1078
(816) 347-8850
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
116536
MO
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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