Individual
NICOLE BISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
1288 SW SIMPSON AVE, BEND, OR 97702-3195
(541) 312-2004
Mailing address
1288 SW SIMPSON AVE, BEND, OR 97702-3195
(541) 312-2004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62537
OR
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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