Individual provider · Type 1 NPI

Nicole Gundersen

Neurology Physical Therapist · Bridgeton, MO

NPI number 1972994309 Active

Practice location

12380 Depaul Drive
Bridgeton, MO 63044-2511

Call (314) 809-1860 Map

Mailing address

1127 Childress Ave
St. Louis, MO 63139-3303

Specialties and licenses

TaxonomyCodeLicense
Neurology Physical Therapist Primary 2251N0400X2011025926 (MO)

Neurology Physical Therapist: 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 an…

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About NPI 1972994309

Nicole Gundersen's National Provider Identifier is 1972994309, issued on Feb 6, 2015. The primary taxonomy on file is Neurology Physical Therapist (2251N0400X), and the practice location is in Bridgeton, MO. The record was last updated on Feb 6, 2015.