Individual
JOSEPH JOHN NICHOLS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
28535 DUPONT BLVD, UNIT 1, MILLSBORO, DE 19966-4799
(302) 297-0700
(302) 297-0701
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
18065
MD
225100000X
Physical Therapist
Primary
J10000921
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000220726
—
DE
Enumeration date
11/03/2006
Last updated
03/28/2016
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