Individual
NICKELE HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5287
Mailing address
12366 BIRCH CT, YUCAIPA, CA 92399-4219
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05012785A
IN
225100000X
Physical Therapist
42026
CA
225100000X
Physical Therapist
Primary
5501017217
MI
Other
Enumeration date
01/07/2015
Last updated
07/21/2022
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