Individual
JULIE BETH NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
400 MCFARLAND BLVD STE F, NORTHPORT, AL 35476-3371
(205) 333-5351
Mailing address
11892 CEDARWOOD AVE, NORTHPORT, AL 35475-4801
(205) 765-3503
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 5455
AL
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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