Nicole A Amos PT

NPI 1326112988 - Physical Therapist - 225100000X

NPI Details
NPI 1326112988
Gender Female
Enumeration Date 11/17/2006
Last Updated 12/20/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
2100 MADISON AVE
GRANITE CITY IL, 62040-4701, US
Phone (619) 798-3135
Fax
Business Location
2609 LAUREN LAKE DR
BELLEVILLE IL, 62221-8620, US
Phone (618) 960-6407
Fax
Toxanomy
Taxonomy Code 225100000X
License State Illinois
License Number 070.016637
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According to our database, Nicole A Amos PT NPI is 1326112988, taxonomy code is 225100000X and license number is 070.016637, license state is located at Illinois. Nicole A Amos PT physically located at 2100 Madison Ave, Granite City IL, 62040-4701. NPI Number Nicole A Amos PT has the Individual type.

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1326112988 NPI number is provided on an as is basis without warranty of any kind. 1326112988 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole A Amos PT are for informational purposes only.