Individual
NICHOLE EMILY PAVELCHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 OTTAWA ST, JOHNSTOWN, PA 15904-2337
(724) 388-0469
Mailing address
2104 WOOD RD, SHELOCTA, PA 15774-7202
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003135
PA
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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