Individual
NICOLE L BACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4220 HOUSTON RD, ERLANGER, KY 41018-3402
(859) 727-6700
Mailing address
4220 HOUSTON RD, ERLANGER, KY 41018-3402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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