Individual
NICOLE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 CLEARVIEW CIR, BUTLER, PA 16001-1565
(724) 285-5351
Mailing address
142 CLEARVIEW CIR, BUTLER, PA 16001-1565
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1002980
PA
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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