Individual
KYMBERLY ANN NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
6550 N RIDGE RD, SUITE 201, MADISON, OH 44057-3462
(440) 428-1944
(440) 428-5847
Mailing address
7551 FREDLE DR, CONCORD TWP, OH 44077-9406
(440) 350-9595
(440) 357-1905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012182
OH
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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