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Individual
ROXANE NICHOLSON
Active
Individual
ROXANE NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
016024-01
NY
261QP2000X
Physical Therapy Clinic/Center
016024-01
NY
Other
Enumeration date
06/14/2021
Last updated
10/21/2024
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