Individual
MS. NANCY P. NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1142 BEAR ST, MILACA, MN 56353-3948
(763) 389-6420
(763) 389-6410
Mailing address
1142 BEAR ST, MILACA, MN 56353-3948
(763) 389-6422
(763) 389-6410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4146
MN
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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