Individual
DR. ELISE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T
Contact information
Practice address
24 PARK ST, PITTSFIELD, MA 01201-4037
(413) 629-1919
Mailing address
24 PARK ST, PITTSFIELD, MA 01201-4037
(413) 629-1919
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
21293
MA
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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