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Organization
NICHOLS & ASSOCIATES PHYSICAL THERAPHY SPECIALIST INC
Active
Organization
NICHOLS & ASSOCIATES PHYSICAL THERAPHY SPECIALIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DONNA NICHOLS PT (OWNER)
(850) 236-3424
Entity
Organization
Contact information
Practice address
4032 THOMAS DR STE 101A, PANAMA CITY, FL 32408
(850) 236-3424
(850) 236-2487
Mailing address
4032 THOMAS DR STE 101A, PANAMA CITY, FL 32408-6861
(850) 236-3424
(850) 236-2487
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT15569
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
372484863
TRICARE
FL
01
—
Y087W
BCBS OF FL
FL
Enumeration date
07/20/2006
Last updated
04/04/2019
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