Individual
ELLEN NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5846
Mailing address
8437 COUNTRY CLUB BLVD, INDIANAPOLIS, IN 46234-1850
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004128A
IN
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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