Individual
BRAD JAMES NICOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
15004 INNOVATION DR, SAN DIEGO, CA 92128-3491
(858) 605-7189
Mailing address
10790 RANCHO BERNARDO RD, MAIL DROP 4S-205, SAN DIEGO, CA 92127-5705
(858) 927-5775
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
36797
CA
Other
Enumeration date
02/18/2010
Last updated
03/18/2016
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