Individual
MS. NICOLE KATHARINE BILTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3270 LIBERTY RD. S., SALEM, OR 97302
(503) 371-0779
(503) 371-0886
Mailing address
3270 LIBERTY RD. S., SALEM, OR 97302
(503) 371-0779
(503) 371-0886
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63016
OR
225100000X
Physical Therapist
J1-0003747
DE
Other
Enumeration date
02/06/2018
Last updated
10/31/2018
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