Individual
NICOLE A TOMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
970 W JUNIPER AVE, HERMISTON, OR 97838-2118
(541) 567-8337
Mailing address
607 COVENTRY WAY, NOBLESVILLE, IN 46062-9027
(317) 918-4423
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
060095760A
IN
225200000X
Physical Therapy Assistant
09669
OK
225200000X
Physical Therapy Assistant
P160883463
WA
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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