Individual
DR. JEFFREY A NICHOLSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
45359 W PAITILLA LN, MARICOPA, AZ 85139-6714
(602) 460-8116
Mailing address
45359 W PAITILLA LN, MARICOPA, AZ 85139-6714
(602) 460-8116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13535
AZ
225100000X
Physical Therapist
—
—
Other
Enumeration date
01/02/2018
Last updated
05/25/2020
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