Individual
RYAN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1530 E GLENN AVE STE C, AUBURN, AL 36830-5730
(334) 502-7839
Mailing address
2823 GREYSTONE COMMERCIAL BLVD, HOOVER, AL 35242-2660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH11215
AL
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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