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Individual

MRS. NICOLE REYANN LANCASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
9909 E 100 S, GREENTOWN, IN 46936-9163
(765) 628-0605
(765) 628-3693
Mailing address
1203 MEADOW LN, WARSAW, IN 46580-4115

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
10/25/2016
Last updated
10/25/2016
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