Individual
NICOLE BADOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
531 GIDDINGS AVE, SHEBOYGAN FALLS, WI 53085-1707
(920) 550-5254
Mailing address
531 GIDDINGS AVE, SHEBOYGAN FALLS, WI 53085-1707
(920) 550-5254
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1835-019
WI
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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