Individual
NICOLE CORNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8747 BIG BEND BLVD, SAINT LOUIS, MO 63119-3729
(314) 968-4044
(314) 963-0787
Mailing address
8747 BIG BEND BLVD, SAINT LOUIS, MO 63119-3729
(314) 968-4044
(314) 963-0787
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116560
MP
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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