Individual
MRS. LYNN MARIE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13501 NE 28TH ST, VANCOUVER, WA 98682-8091
(360) 604-6700
Mailing address
13501 NE 28TH ST, PO BOX8910, VANCOUVER, WA 98682-8091
(360) 604-6700
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160072867
WA
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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