Individual
DR. DIANE E. NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., N.C.S.
Contact information
Practice address
520 WAKARA WAY STE 320, UNIVERSITY OF UTAH, SALT LAKE CITY, UT 84108-1213
(801) 581-3593
Mailing address
2026 ASHLEY RIDGE RD, SANDY, UT 84092-7259
(801) 520-3077
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
121711-2401
UT
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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