Individual
MRS. KELLY NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
24 LYMAN ST, SUITE 120, WESTBOROUGH, MA 01581-1482
(508) 393-0306
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17051
MA
Other
Enumeration date
03/26/2007
Last updated
07/12/2024
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