Individual
JOEL T SAN NICOLAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5928 HIGHWAY 291, NINE MILE FALLS, WA 99026-9525
(509) 465-5663
(509) 467-8663
Mailing address
PO BOX 549, NINE MILE FALLS, WA 99026-0549
(509) 465-5663
(509) 467-8663
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005032
WA
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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