Individual
MR. PATRICK JOHN NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
86 VALLEY HIDEAWAY DR, HAYESVILLE, NC 28904-9674
(828) 389-9941
Mailing address
132 GENERAL PEMBERTON ST, STANLEY, NC 28164-2202
(704) 689-4446
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6054
NC
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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