Individual
MS. ANGELA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1043 WASHINGTON RD, THOMSON, GA 30824-7318
(706) 597-1190
(706) 597-1191
Mailing address
1156 COUNTY LINE RD, HARLEM, GA 30814-3805
(706) 597-1190
(706) 597-1191
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA000561
GA
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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