Individual
NICKIA R VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2626 WESLEYAN DR, BELLEVILLE, KS 66935-2440
(785) 527-5636
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10400900
KS
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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