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Nicole Gundersen
Neurology Physical Therapist in Bridgeton, Missouri
NPI 1972994309

Nicole Gundersen is a Neurology Physical Therapist based in Saint Louis, MO and is specialized in Neurology. Nicole Gundersen practices in Bridgeton, MO. The NPI Number for Nicole Gundersen is 1972994309 and holds a License No. 2011025926 (Missouri).

The current practice location address for Nicole Gundersen is 12380 Depaul Drive, Bridgeton, MO and can be reached out via phone at 314-809-1860.

Location: 12380 Depaul Drive, Bridgeton, MO, 63139-3303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972994309
Provider Name
Nicole Gundersen
Credential
Provider Entity Type
Individual
Gender
Female
Address
12380 Depaul Drive, Bridgeton, MO, 63139-3303
Phone Number
314-809-1860
Fax Number
Provider Enumeration Date
02/06/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12380 Depaul Drive
City
Bridgeton
State
Missouri
Zip
63044-2511
Phone Number
314-809-1860
Fax Number
person
Provider Business Mailing Address Details
Address
12380 Depaul Drive
City
Bridgeton
State
Missouri
Zip
63044-2511
Phone Number
314-809-1860
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Neurology
Taxonomy
2251N0400X
License No.
2011025926 (Missouri)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.
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