Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 086521 | IA |
NPI | 1003339490 |
---|---|
Provider Name | Nicole Helm |
First Address | Albia, IA 52531-1114 |
Second Address | Oskaloosa, IA 52577-4246 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2017 |
Last Update Date | 18/07/2017 |