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Individual

NICKY LEIGH MAWHORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
5860 COLLEGE RD, KEY WEST, FL 33040-4314
(305) 296-4888
Mailing address
721 SOUTHARD ST, KEY WEST, FL 33040-6877
(810) 571-1077

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
25263
FL

Other

Enumeration date
11/26/2019
Last updated
11/26/2019
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