Individual
MR. BRIAN NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8100 NW 27TH BLVD APT D116, GAINESVILLE, FL 32606-8613
(352) 792-6464
Mailing address
529 SW GRANDVIEW ST, LAKE CITY, FL 32025-6614
(727) 992-1978
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT12720
FL
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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