Individual
SHELLEY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
745 N MAIN ST, LACONIA, NH 03246-2715
(603) 524-5151
Mailing address
745 N MAIN ST, LACONIA, NH 03246-2715
(603) 524-5151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTTI01475
NH
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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