Individual
WENDY LEE NICHOLLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4949 COOLIDGE HWY, ROYAL OAK, MI 48073-1026
(248) 655-5660
(248) 655-5662
Mailing address
1235 BARNESWOOD LN, ROCHESTER HILLS, MI 48306-4113
(586) 246-6282
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
5502000828
MI
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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