Individual
CRYSTAL NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 LEONA DR, LARGO, FL 33770-4814
(727) 330-9750
Mailing address
1260 LEONA DR, LARGO, FL 33770-4814
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22189
FL
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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