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Individual
DR. TERRENCE DUWAYNE NICKENS
Active
Individual
DR. TERRENCE DUWAYNE NICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT3573
MS
225100000X
Physical Therapist
Primary
1222302
TX
Other
Enumeration date
10/18/2006
Last updated
04/29/2025
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