Individual
MRS. ROXANN E. NICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
6 HAMPTON LN, ANDOVER, MA 01810-4302
(978) 475-4450
Mailing address
6 HAMPTON LN, ANDOVER, MA 01810-4302
(978) 475-4450
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1112
MA
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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