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Individual

AMY NICHOLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
2500 TOMAHAWK DR, ARNOLD, MO 63010-2522
(636) 282-1470
Mailing address
4103 HIDDEN MEADOWS DR, ARNOLD, MO 63010-5705
(314) 402-6410

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2001024946
MO

Other

Enumeration date
05/17/2018
Last updated
05/17/2018
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