Individual
JUSTIN I NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2801 E ROYALTON RD, BROADVIEW HEIGHTS, OH 44147-2827
(440) 526-4770
Mailing address
2801 E ROYALTON RD, BROADVIEW HEIGHTS, OH 44147-2827
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
09999
OH
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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