Individual
DEVON NICHOLL-EWERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, MOT
Contact information
Practice address
719 SW 42ND AVE, PLANTATION, FL 33317-4036
(954) 554-6016
Mailing address
719 SW 42ND AVE, PLANTATION, FL 33317-4036
(954) 554-6016
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT8420
FL
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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