Individual
MRS. ANNA E NICOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8199 NAVARRE PKWY STE 12A, NAVARRE, FL 32566-6941
(636) 675-8369
Mailing address
1900 ELEVATE AVE APT A106, NAVARRE, FL 32566-6952
(636) 675-8369
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2021015156
MO
225200000X
Physical Therapy Assistant
Primary
32792
FL
Other
Enumeration date
06/25/2021
Last updated
07/26/2023
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