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Individual

CONNOR NICKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
10721 W INDIAN SCHOOL RD, AVONDALE, AZ 85392-5636
(623) 772-7748
(623) 772-7749
Mailing address
14287 N 87TH ST STE 220, SCOTTSDALE, AZ 85260-3698
(602) 329-8250
(480) 565-1898

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
AZ

Other

Enumeration date
06/07/2021
Last updated
03/01/2022
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