Individual
PAMELA SUE NICOLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
435 AVIS AVE NW, MASSILLON, OH 44646-3555
(330) 837-1741
(330) 837-4618
Mailing address
7780 ARTHUR AVE NW, CANAL FULTON, OH 44614-9490
(330) 854-1715
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 933
OH
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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