Individual
NICHOLAS ELI CULP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
902 E HACKBERRY ST APT 1034, LEONARD, TX 75452-6318
(716) 880-0222
Mailing address
902 E HACKBERRY ST, LEONARD, TX 75452-6318
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
—
NY
225200000X
Physical Therapy Assistant
Primary
—
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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