Individual
LAURA M NICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
19051 FM 2484, KILLEEN, TX 76542
(254) 554-5555
Mailing address
1102 WINKLER AVE, KILLEEN, TX 76542-6249
(254) 634-8505
(254) 519-3477
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1193269
TX
Other
Enumeration date
01/13/2010
Last updated
01/20/2010
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