Individual
MRS. NICOLE O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1445 N 7TH ST, MANITOWOC, WI 54220-2011
(920) 682-0314
(920) 683-0210
Mailing address
1445 N 7TH ST, MANITOWOC, WI 54220-2011
(920) 682-0314
(920) 683-0210
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1090-19
WI
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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