Individual
JOSEPH A NICHOLSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
109 BRIDGE ST STE 300, DANVILLE, VA 24541-1222
(434) 793-4711
(434) 797-2514
Mailing address
109 BRIDGE ST STE 300, DANVILLE, VA 24541-1222
(434) 793-4711
(434) 797-2514
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305002703
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386730257
—
VA
01
—
2305002703
STATE OF VIRGINIA LICENSE
VA
Enumeration date
10/05/2006
Last updated
06/06/2019
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