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Nicole McCutchan

Physical Therapy Assistant in Omaha, NE. Individual provider (NPI-1).

NPI number1326348145
StatusActive
Last updated in NPPESOct 26, 2010

Details

NPI
1326348145
Entity type
Individual (NPI-1)
Name
Nicole McCutchan
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 26, 2010
Last updated
Oct 26, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantA3090MDYes

Practice location

2425 S 171st St
Omaha, NE 68130-2393

Phone 180-045-6585

Mailing address

Hc 69 Box 3
West Union, WV 26456-8901

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