Individual
EMILY NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2355 NORTHSIDE DR STE 140, SAN DIEGO, CA 92108-4705
(800) 458-7777
(800) 863-2978
Mailing address
8973 SUNNINGDALE BLVD, INDIANAPOLIS, IN 46234-7005
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003666A
IN
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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