Individual
NICOLE O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
143 S GIBSON ST, MEDFORD, WI 54451-1622
(715) 748-8110
Mailing address
22943 COUNTY ROAD G, GILMAN, WI 54433-9551
(715) 279-3560
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2347-19
WI
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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