Individual
NICOLE HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
450 E 23RD ST, FREMONT, NE 68025-9802
(402) 721-1610
Mailing address
346 W 16TH ST, FREMONT, NE 68025-3303
(712) 230-0807
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1715
NE
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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