Individual provider · NPI-1

Denise Nickel, CPO

Prosthetist · Arlington, TX

NPI number1407089006
StatusActive
Last updated in NPPESAug 28, 2009

Details

NPI
1407089006
Entity type
Individual (NPI-1)
Name
Denise Nickel
Credential
CPO
Sex
Female
Sole proprietor
No
Enumeration date
Aug 28, 2009
Last updated
Aug 28, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224P00000X ProsthetistTX 1062TXYes
222Z00000X TX 1062TX

Practice location

3030 Matlock Rd Ste 108
Arlington, TX 76015-2934

Phone 817-467-9977

Mailing address

3030 Matlock Rd Ste 108
Arlington, TX 76015-2934

Phone 817-467-9977

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