Individual
TIMOTHY JAMES NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
851 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5257
(901) 517-5858
Mailing address
606 EDINBURGH WAY, CLARKSVILLE, TN 37043-3853
(901) 517-5858
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6301
TN
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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