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Individual

NICOLE A WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1398 LAKE ST S STE 100, FOREST LAKE, MN 55025-2720
(651) 275-2700
(651) 309-0000
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 512-5600

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9090
MN

Other

Enumeration date
07/30/2012
Last updated
01/08/2024
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