Individual
JON O NICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
12611 ECKEL JUNCTION RD, PERRYSBURG, OH 43551-1304
(877) 511-9739
(419) 745-8819
Mailing address
12611 ECKEL JUNCTION RD, PERRYSBURG, OH 43551-1304
(877) 511-9739
(419) 745-8819
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.012004
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2904816
—
OH
Enumeration date
01/24/2008
Last updated
11/16/2011
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