Individual
MRS. AMBER MARIE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, PES
Contact information
Practice address
92 WEST AVE, BROCKPORT, NY 14420-1306
(585) 750-0749
Mailing address
65 PEPPERMINT DR, ROCHESTER, NY 14615-1242
(585) 621-9105
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001224-1
NY
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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