Individual
ADAM NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1490 E WALNUT ST, WATSEKA, IL 60970-1830
(815) 432-0250
Mailing address
5919 MARGO DR, SAINT ANNE, IL 60964-4433
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.022059
IL
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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